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General NPI Number Information
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NPI Number | 1467668822
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Entity Type | Organization
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Legal Business Name | RICK A ROBINSON OD PA
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 8024 ALICO RD STE A4
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City | FORT MYERS
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State | FL
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Zip | 33912-2555
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Country | US
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Telephone | 239-596-2722
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Fax | 239-432-2662
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Provider Business Mailing Address
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Address Line | 2710 WILSON BLVD NORTH
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City | NAPLES
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State | FL
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Zip | 34120
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Country | US
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Telephone | 239-682-0871
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Fax | 239-254-0073
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Authorized Official
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Title or Position | PRESIDENT OPTOMETRIST
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Name | DR. RICK ANTHONY ROBINSON
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Credential | OD
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Telephone | 239-596-2722
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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 | OPC3382
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License Number State | FL
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