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General NPI Number Information
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NPI Number | 1487887840
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Entity Type | Organization
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Legal Business Name | ROBINSON CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 5515 S MINGO RD SUITE K
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City | TULSA
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State | OK
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Zip | 74146-6438
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Country | US
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Telephone | 918-627-0400
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Fax | 866-496-6215
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Provider Business Mailing Address
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Address Line | 5515 S MINGO RD SUITE K
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City | TULSA
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State | OK
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Zip | 74146-6438
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Country | US
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Telephone | 918-627-0400
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Fax | 866-496-6215
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATTHEW D ROBINSON
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Credential | DC
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Telephone | 918-627-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3352
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License Number State | OK
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