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General NPI Number Information
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NPI Number | 1487269056
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Entity Type | Individual
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Provider Name | ROBINSON VEGA DDS
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Gender | Male
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 6 BATAVIA CITY CTR
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City | BATAVIA
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State | NY
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Zip | 14020-2107
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Country | US
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Telephone | 585-479-3103
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Fax |
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Provider Business Mailing Address
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Address Line | 599 NIAGARA FALLS BLVD
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City | BUFFALO
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State | NY
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Zip | 14226-2801
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Country | US
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Telephone | 716-482-2118
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 061320
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License Number State | NY
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