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General NPI Number Information
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NPI Number | 1295873511
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Entity Type | Individual
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Provider Name | DR. KENNETH X. ROBBINS
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5055 SEMINARY RD SUITE 108
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City | ALEXANDRIA
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State | VA
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Zip | 22311-2034
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Country | US
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Telephone | 703-379-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 11305 ROUEN DR
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City | POTOMAC
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State | MD
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Zip | 20854-3127
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Country | US
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Telephone | 703-379-2600
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Fax | 301-299-2986
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D15284
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101021664
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License Number State | VA
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