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General NPI Number Information
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NPI Number | 1255294096
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Entity Type | Organization
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Legal Business Name | OMG CLINIC, INC.
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 255 E ORANGE GROVE AVE STE D
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City | BURBANK
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State | CA
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Zip | 91502-1240
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Country | US
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Telephone | 747-262-1155
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Fax | 747-262-1154
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Provider Business Mailing Address
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Address Line | 255 E ORANGE GROVE AVE STE D
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City | BURBANK
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State | CA
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Zip | 91502-1240
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Country | US
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Telephone | 747-262-1155
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Fax | 747-262-1154
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Authorized Official
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Title or Position | ATTENDING PHYSICIAN CEO
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Name | DR. JEFFREY LEE ROBINSON
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Credential | MD
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Telephone | 747-262-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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