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General NPI Number Information
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NPI Number | 1306193651
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Entity Type | Individual
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Provider Name | TERRENCE GERARD ROBINSON-BROWN MS
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Gender | Male
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 549 OGDEN ST
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City | BRIDGEPORT
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State | CT
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Zip | 06608-1732
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Country | US
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Telephone | 347-880-1981
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Fax |
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Provider Business Mailing Address
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Address Line | 549 OGDEN ST
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City | BRIDGEPORT
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State | CT
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Zip | 06608-1732
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Country | US
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Telephone | 347-880-1981
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 768385
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License Number State | NY
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