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General NPI Number Information
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NPI Number | 1518229178
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Entity Type | Individual
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Provider Name | KELVIN DUANE ROBISON MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 108 DENVER TRL
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City | AZLE
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State | TX
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Zip | 76020-3614
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Country | US
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Telephone | 817-820-4906
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Fax | 817-820-4815
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Provider Business Mailing Address
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Address Line | 107 RED OAK ST S
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City | HUDSON OAKS
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State | TX
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Zip | 76087-7319
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Country | US
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Telephone | 817-239-5576
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD456556
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | Q8783
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License Number State | TX
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