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General NPI Number Information
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NPI Number | 1538473285
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Entity Type | Individual
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Provider Name | ROBYN L MCCALLA D.D.S
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Gender | Female
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 2550 SANDY PLAINS RD STE 145
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City | MARIETTA
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State | GA
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Zip | 30066-7221
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Country | US
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Telephone | 770-321-2755
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 SANDY PLAINS RD STE 145
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City | MARIETTA
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State | GA
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Zip | 30066-7221
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Country | US
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Telephone | 770-321-2755
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 046912
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License Number State | NY
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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 | DN014998
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License Number State | GA
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