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General NPI Number Information
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NPI Number | 1346449295
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Entity Type | Individual
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Provider Name | DONNA LEDA ROBINSON MS, ATC
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 5500 ARMSTRONG RD
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City | BATTLE CREEK
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State | MI
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Zip | 49037-7314
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Country | US
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Telephone | 616-365-7761
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Fax |
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Provider Business Mailing Address
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Address Line | 17617 SIMMONS AVE
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City | SAND LAKE
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State | MI
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Zip | 49343-8885
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Country | US
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Telephone | 906-630-2659
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2601000347
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501015716
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License Number State | MI
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