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NPI 1558525337

NPI 1558525337 : GEORGE F ROBIE JR M D PLLC : ELK CITY, OK

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General NPI Number Information
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    NPI Number           |    1558525337
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEORGE F ROBIE JR M D PLLC 
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Dates
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    Enumeration Date     |    07/11/2008
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    Last Update Date     |    11/19/2008
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Provider Practice Location Address
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    Address Line         |    1900 WEST SECOND STREET SUITE D
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    City                 |    ELK CITY
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    State                |    OK
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    Zip                  |    73644-4328
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    Country              |    US
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    Telephone            |    580-225-5551
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    Fax                  |    580-225-5553
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Provider Business Mailing Address
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    Address Line         |    1900 WEST SECOND STREET SUITE D
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    City                 |    ELK CITY
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    State                |    OK
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    Zip                  |    73644-4328
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    Country              |    US
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    Telephone            |    580-225-5551
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    Fax                  |    580-225-5553
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. GEORGE FIELDING ROBIE JR.
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    Credential           |    M. D.
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    Telephone            |    580-225-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    14162
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    License Number State |    OK
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