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NPI 1265743579

NPI 1265743579 : CASEY D ROBINSON PT : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1265743579
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    Entity Type          |    Individual 
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    Provider Name        |    CASEY D ROBINSON PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/01/2010
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    Last Update Date     |    11/08/2022
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Provider Practice Location Address
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    Address Line         |    9430 S NORTHSHORE DR STE 102A 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37922-6699
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    Country              |    US
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    Telephone            |    865-224-8974
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    Fax                  |    865-244-1612
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Provider Business Mailing Address
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    Address Line         |    13087 GEORGE LOVELACE LN 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37932-2118
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    Country              |    US
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    Telephone            |    865-255-7976
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    Fax                  |    865-244-1612
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    8829
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    License Number State |    TN
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