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General NPI Number Information
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NPI Number | 1194033779
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Entity Type | Individual
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Provider Name | PHILIP JOSEPH ROBILOTTO D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 7-1 METROPOLITAN COURT MERCY HEALTH CLINIC
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City | GAITHERSBURG
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State | MD
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Zip | 20885-4115
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Country | US
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Telephone | 240-773-0327
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Fax |
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Provider Business Mailing Address
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Address Line | 8603 AUGUSTA FARM LN
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City | LAYTONSVILLE
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State | MD
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Zip | 20882-1423
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Country | US
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Telephone | 301-253-3668
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0059690
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License Number State | MD
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