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General NPI Number Information
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NPI Number | 1356516611
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Entity Type | Organization
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Legal Business Name | ROBYN REESMAN, O.D.,INC.
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 2001 GLENN BLVD. SW
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City | FORT PAYNE
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State | AL
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Zip | 35968
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Country | US
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Telephone | 256-997-0153
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Fax | 256-997-0155
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Provider Business Mailing Address
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Address Line | 212 HEALING BLUFF RD
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City | CHATTANOOGA
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State | TN
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Zip | 37419-1022
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Country | US
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Telephone | 423-503-3355
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Fax | 423-517-0238
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBYN R. REESMAN
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Credential | O.D.
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Telephone | 423-517-0238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S821 TA429
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License Number State | AL
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