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General NPI Number Information
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NPI Number | 1508879016
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Entity Type | Organization
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Legal Business Name | ROBINWOOD DENTAL CENTER, PC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 11110 MEDICAL CAMPUS RD SUITE 148
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6700
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Country | US
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Telephone | 240-313-9660
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Fax | 240-313-9661
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Provider Business Mailing Address
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Address Line | 11110 MEDICAL CAMPUS RD SUITE 148
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6700
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Country | US
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Telephone | 240-313-9660
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Fax | 240-313-9661
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Authorized Official
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Title or Position | BUSINESS OFFICE
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Name | BEVERLY LONG BURKS
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Credential |
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Telephone | 240-313-9660
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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 | 14665
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 7188
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 14551
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 15454
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7223
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 13369
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 15749
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 16044
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 16117
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License Number State | MD
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Taxonomy #10
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14269
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License Number State | MD
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Taxonomy #11
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | MD
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