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General NPI Number Information
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NPI Number | 1487214342
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Entity Type | Organization
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Legal Business Name | PATRICK ROBINSON MD LLC
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 12630 CURLEY ST STE 104
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City | SAN ANTONIO
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State | FL
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Zip | 33576-8095
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Country | US
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Telephone | 386-237-7150
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Fax |
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Provider Business Mailing Address
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Address Line | 20016 OAKFLOWER AVE
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City | TAMPA
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State | FL
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Zip | 33647-3646
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Country | US
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Telephone | 386-237-7150
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. PATRICK ROBINSON
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Credential | MD
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Telephone | 386-237-7150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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