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NPI 1497820369

NPI 1497820369 : KATERINA AMELIA ROBINSON DDS : KALISPELL, MT

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General NPI Number Information
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    NPI Number           |    1497820369
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    Entity Type          |    Individual 
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    Provider Name        |    KATERINA AMELIA ROBINSON DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/22/2006
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    Last Update Date     |    12/15/2020
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Provider Practice Location Address
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    Address Line         |    1315 US HIGHWAY 2 W 
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    City                 |    KALISPELL
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    State                |    MT
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    Zip                  |    59901-3413
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    Country              |    US
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    Telephone            |    406-890-6364
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    Fax                  |    406-890-6198
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Provider Business Mailing Address
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    Address Line         |    1315 US HIGHWAY 2 W 
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    City                 |    KALISPELL
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    State                |    MT
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    Zip                  |    59901-3413
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    Country              |    US
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    Telephone            |    406-890-6364
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    Fax                  |    406-890-6198
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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       |    8792
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    7755
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    License Number State |    MT
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