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General NPI Number Information
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NPI Number | 1184604480
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Entity Type | Individual
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Provider Name | LAWRENCE GEORGE ROBINSON MD
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 830 EXECUTIVE LN SUITE 120
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City | ROCKLEDGE
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State | FL
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Zip | 32955-3595
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Country | US
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Telephone | 321-639-2551
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Fax | 321-504-6260
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Provider Business Mailing Address
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Address Line | 830 EXECUTIVE LN SUITE 120
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City | ROCKLEDGE
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State | FL
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Zip | 32955-3595
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Country | US
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Telephone | 321-639-2551
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Fax | 321-504-6260
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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 | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | ME0057471
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME0057471
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License Number State | FL
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