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General NPI Number Information
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NPI Number | 1255459947
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Entity Type | Organization
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Legal Business Name | STEVEN D. ROBINSON, D.D.S., LTD
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3575 GRANT DR SUITE 10
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City | RENO
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State | NV
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Zip | 89509-5301
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Country | US
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Telephone | 775-827-3302
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Fax | 775-827-9095
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Provider Business Mailing Address
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Address Line | 3575 GRANT DR SUITE 10
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City | RENO
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State | NV
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Zip | 89509-5301
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Country | US
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Telephone | 775-827-3302
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Fax | 775-827-9095
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN DOUGLAS ROBINSON
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Credential | D.D.S., LTD
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Telephone | 775-827-3302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | S4-20
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License Number State | NV
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