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General NPI Number Information
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NPI Number | 1437410149
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Entity Type | Organization
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Legal Business Name | TAMARA K ROBISON DDS PA
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 15495 TAMIAMI TRL N #125
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City | NAPLES
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State | FL
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Zip | 34110-6206
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Country | US
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Telephone | 239-263-4517
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Fax | 239-263-4518
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Provider Business Mailing Address
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Address Line | 15495 TAMIAMI TRL N #125
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City | NAPLES
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State | FL
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Zip | 34110-6206
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Country | US
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Telephone | 239-263-4517
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Fax | 239-263-4518
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Authorized Official
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Title or Position | OWNER, PEDIATRIC DENTIST
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Name | DR. TAMARA KRISTINE ROBISON
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Credential | DDS, MBA, PA
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Telephone | 239-263-4517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN18959
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License Number State | FL
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