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General NPI Number Information
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NPI Number | 1285921932
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Entity Type | Individual
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Provider Name | ROBIN MCHALE POLLY D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 1101 VETERANS DR
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City | LEXINGTON
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State | KY
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Zip | 40502-2235
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Country | US
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Telephone | 859-233-4511
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Fax | 859-281-3928
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Provider Business Mailing Address
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Address Line | 1101 VETERANS DRIVE
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City | LEXINGTON
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State | KY
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Zip | 40502
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Country | US
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Telephone | 859-233-4511
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Fax | 859-281-3928
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 03698
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | KY03698
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License Number State | KY
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