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General NPI Number Information
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NPI Number | 1366782567
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Entity Type | Individual
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Provider Name | ANDREW ROBERT ROBINSON D O LLC
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Gender | Male
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 1868 W 9800 S STE 100
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-4713
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Country | US
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Telephone | 801-285-8848
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Fax | 801-433-5734
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Provider Business Mailing Address
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Address Line | 1868 W 9800 S STE 100
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-4713
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Country | US
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Telephone | 801-285-8848
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Fax | 801-433-5734
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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 | 20A12754
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9036325-1204
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License Number State | UT
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