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General NPI Number Information
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NPI Number | 1356318828
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Entity Type | Individual
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Provider Name | ROBERT KEVIN TALTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 109 SCOTTS HILL MEDICAL DR STE 204
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City | WILMINGTON
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State | NC
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Zip | 28411
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Country | US
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Telephone | 910-662-1960
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Fax | 910-550-3787
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Provider Business Mailing Address
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Address Line | PO BOX 936857
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City | ATLANTA
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State | GA
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Zip | 31193-6857
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Country | US
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Telephone | 910-662-6200
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Fax | 910-686-1606
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0098-01525
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License Number State | NC
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