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General NPI Number Information
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NPI Number | 1417102310
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Entity Type | Individual
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Provider Name | JESSICA FAITH ROBINSON PT
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Gender | Female
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Dates
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Enumeration Date | 11/20/2008
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 2300 RAMSEY ST PM&R DEPARTMENT
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-3856
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Country | US
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Telephone | 910-488-2120
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27231
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-5037
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Country | US
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Telephone | 540-718-5720
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT0000007892
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License Number State | TN
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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 | 2305204998
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License Number State | VA
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