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General NPI Number Information
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NPI Number | 1194715037
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Entity Type | Individual
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Provider Name | PATRICK AARON ROBERTSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2005
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 111 S 5TH ST
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City | DOUGLAS
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State | WY
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Zip | 82633-2434
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Country | US
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Telephone | 307-358-2122
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Fax | 307-358-9216
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Provider Business Mailing Address
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Address Line | PO BOX 1450
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City | DOUGLAS
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State | WY
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Zip | 82633-1450
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Country | US
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Telephone | 307-358-1403
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Fax | 307-358-3432
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 6940A
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License Number State | WY
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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 | 153414
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 10168
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 95-00203
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD14964
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License Number State | ME
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