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General NPI Number Information
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NPI Number | 1194872150
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Entity Type | Organization
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Legal Business Name | DENNIS E. ROBINSON
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 487 POMME DE TERRE
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City | MARSHFIELD
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State | MO
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Zip | 65706-2386
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Country | US
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Telephone | 417-859-7875
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Fax | 417-468-7978
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Provider Business Mailing Address
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Address Line | 487 POMME DE TERRE P O BOX 736
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City | MARSHFIELD
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State | MO
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Zip | 65706-2386
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Country | US
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Telephone | 417-859-7875
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Fax | 417-468-7978
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. DENNIS EUGENE ROBINSON
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Credential | D.O.
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Telephone | 417-859-7875
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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 | R7J93
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License Number State | MO
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