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General NPI Number Information
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NPI Number | 1174882690
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Entity Type | Individual
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Provider Name | DOUGLAS ROBINSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 10624 N CRESTVIEW DR
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-6107
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Country | US
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Telephone | 202-489-3622
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Fax |
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Provider Business Mailing Address
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Address Line | 10624 N CRESTVIEW DR
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-6107
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 45607
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License Number State | AZ
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