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General NPI Number Information
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NPI Number | 1619778610
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Entity Type | Individual
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Provider Name | ROBERT CLIFTON CASE IV DMD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 528 W BALDWIN RD
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City | PANAMA CITY
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State | FL
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Zip | 32405-3313
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Country | US
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Telephone | 850-215-0128
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Fax |
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Provider Business Mailing Address
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Address Line | 139 CALUMET CT
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-2279
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Country | US
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Telephone | 859-957-3535
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN30289
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License Number State | FL
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