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General NPI Number Information
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NPI Number | 1427323351
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Entity Type | Organization
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Legal Business Name | NANCY L ROBBIN, M.D. PA
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Dates
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Enumeration Date | 03/10/2012
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Last Update Date | 03/10/2012
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Provider Practice Location Address
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Address Line | 2555 ENTERPRISE RD STE 9-3
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City | CLEARWATER
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State | FL
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Zip | 33763-1150
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Country | US
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Telephone | 727-797-4211
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Fax | 813-354-2443
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Provider Business Mailing Address
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Address Line | 2555 ENTERPRISE RD STE 9-3
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City | CLEARWATER
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State | FL
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Zip | 33763-1150
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Country | US
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Telephone | 727-797-4211
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Fax | 813-354-2443
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DR. NANCY L ROBBIN
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Credential | M.D.
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Telephone | 727-797-4211
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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 | ME16405
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License Number State | FL
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