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General NPI Number Information
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NPI Number | 1578543245
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Entity Type | Organization
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Legal Business Name | HUGH MARCHMONT-ROBINSON DDS SC
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3302 SOUTH GROVE
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City | BERWYN
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State | IL
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Zip | 60402
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Country | US
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Telephone | 708-788-8200
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Fax | 708-795-8997
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Provider Business Mailing Address
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Address Line | 3302 SOUTH GROVE
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City | BERWYN
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State | IL
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Zip | 60402
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Country | US
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Telephone | 708-788-8200
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Fax | 708-795-8997
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Authorized Official
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Title or Position | OWNER
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Name | HUGH MARCHMONT-ROBINSON
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Credential | DDS
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Telephone | 708-788-8200
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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 |
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License Number State | IL
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