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NPI 1215019682

NPI 1215019682 : ROBYN D MESSING DO : GRAND LEDGE, MI

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General NPI Number Information
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    NPI Number           |    1215019682
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    Entity Type          |    Individual 
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    Provider Name        |    ROBYN D MESSING DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/19/2006
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    935 CHARLEVOIX DR STE 100 
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    City                 |    GRAND LEDGE
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    State                |    MI
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    Zip                  |    48837-2293
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    Country              |    US
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    Telephone            |    517-372-2253
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1035 CHARLEVOIX DR STE 100
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    City                 |    GRAND LEDGE
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    State                |    MI
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    Zip                  |    48837-2223
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    Country              |    US
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    Telephone            |    517-676-9788
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    Fax                  |    517-676-3438
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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        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    BM015681
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    207NP0225X
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    Taxonomy Name        |    Pediatric Dermatology Physician
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    License Number       |    BM015681
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    License Number State |    MI
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Taxonomy #3
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    Taxonomy Code        |    207NS0135X
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    Taxonomy Name        |    Procedural Dermatology Physician
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    License Number       |    BM015681
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    License Number State |    MI
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Taxonomy #4
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    BM015681
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    License Number State |    MI
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