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General NPI Number Information
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NPI Number | 1568855260
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Entity Type | Organization
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Legal Business Name | ATHENS BONE-JOINT AND SPINAL CLINIC, PLLC
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 627 CONGRESS PKWY S
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City | ATHENS
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State | TN
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Zip | 37303-2259
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Country | US
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Telephone | 423-507-5885
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Fax | 423-649-2963
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Provider Business Mailing Address
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Address Line | PO BOX 896136
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City | CHARLOTTE
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State | NC
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Zip | 28289-6136
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Country | US
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Telephone | 865-670-6199
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Fax | 865-670-6198
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Authorized Official
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Title or Position | OWNER
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Name | DAVID R ROBINS SR.
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Credential | MD
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Telephone | 423-507-5885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | TN
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