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General NPI Number Information
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NPI Number | 1255269502
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Entity Type | Individual
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Provider Name | ROBERT EUGENE KING PT
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Gender | Male
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 8051 PROSPERITY WAY STE 101
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City | RUTHER GLEN
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State | VA
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Zip | 22546-5812
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Country | US
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Telephone | 804-589-3151
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Fax |
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Provider Business Mailing Address
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Address Line | 975 POTNECK RD
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City | SALISBURY
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State | NC
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Zip | 28147-8737
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Country | US
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Telephone | 704-267-6064
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Fax |
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | CP055124T
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License Number State | VA
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