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General NPI Number Information
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NPI Number | 1235332081
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Entity Type | Organization
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Legal Business Name | ROBERT S DOTSON, MD PC
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 NEW YORK AVE SUITE 130
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City | OAK RIDGE
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State | TN
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Zip | 37830-5212
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Country | US
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Telephone | 865-483-6399
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Fax |
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Provider Business Mailing Address
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Address Line | 200 NEW YORK AVE SUITE 130
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City | OAK RIDGE
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State | TN
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Zip | 37830-5212
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Country | US
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Telephone | 865-483-6399
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Fax |
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Authorized Official
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Title or Position | ACCOUNTS MANAGER
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Name | MRS. VICKY SIMMONS
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Credential | CDC
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Telephone | 865-986-3710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD9033
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License Number State | TN
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