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General NPI Number Information
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NPI Number | 1508924986
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Entity Type | Individual
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Provider Name | KENNETH ROBINSON DMD
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 111 E CHESTNUT ST
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City | ROME
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State | NY
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Zip | 13440-2800
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Country | US
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Telephone | 315-339-2028
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Fax | 315-339-2029
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Provider Business Mailing Address
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Address Line | 111 E CHESTNUT ST
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City | ROME
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State | NY
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Zip | 13440-2800
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Country | US
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Telephone | 315-339-2028
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Fax | 315-339-2029
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 027714
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License Number State | NY
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