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General NPI Number Information
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NPI Number | 1477941771
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Entity Type | Organization
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Legal Business Name | ROBBINS FAMILY DENTAL PLLC
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 165 MOUSE CREEK RD NW
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City | CLEVELAND
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State | TN
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Zip | 37312-3818
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Country | US
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Telephone | 423-458-4147
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Fax | 423-458-4148
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Provider Business Mailing Address
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Address Line | 165 MOUSE CREEK RD NW
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City | CLEVELAND
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State | TN
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Zip | 37312-3818
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Country | US
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Telephone | 423-458-4147
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Fax | 423-458-4148
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Authorized Official
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Title or Position | MEMBER
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Name | DR. ELIZABETH BROOK ROBBINS
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Credential | D.D.S
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Telephone | 423-458-4147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8533
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License Number State | TN
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