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General NPI Number Information
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NPI Number | 1235305418
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Entity Type | Organization
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Legal Business Name | ROBINSON HEALTH AFFILIATES, INC.
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 6847 N CHESTNUT ST
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City | RAVENNA
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State | OH
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Zip | 44266-3929
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Country | US
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Telephone | 330-297-8279
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Fax |
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Provider Business Mailing Address
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Address Line | 6847 N CHESTNUT ST
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City | RAVENNA
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State | OH
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Zip | 44266-3929
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT FINANCE
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Name | MR. CARL EBNER
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Credential |
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Telephone | 330-297-2306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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