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General NPI Number Information
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NPI Number | 1629184593
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Entity Type | Individual
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Provider Name | EDWIN BRIAN ROBBINS PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 120 N EAGLE CREEK DR STE. 101
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City | LEXINGTON
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State | KY
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Zip | 40509-1827
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Country | US
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Telephone | 859-967-5309
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Fax | 859-967-5346
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Provider Business Mailing Address
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Address Line | PO BOX 22756 STE. 105
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City | LEXINGTON
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State | KY
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Zip | 40522-2756
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Country | US
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Telephone | 859-264-1815
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Fax | 859-264-1820
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 817
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License Number State | KY
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