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General NPI Number Information
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NPI Number | 1275556045
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Entity Type | Individual
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Provider Name | LARRY V ROBINSON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 10900 WESTMINSTER AVE SUITE 5
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4984
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Country | US
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Telephone | 714-539-9539
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Fax | 714-539-1202
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Provider Business Mailing Address
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Address Line | 5200 IRVINE BLVD 335
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City | IRVINE
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State | CA
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Zip | 92620-2013
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Country | US
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Telephone | 714-505-8717
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Fax | 714-505-8711
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 18395
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License Number State | CA
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