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General NPI Number Information
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NPI Number | 1649380080
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Entity Type | Individual
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Provider Name | DAVID DANIEL ROBINSON DO
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 1244 HEIDELBERG WAY
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City | LODI
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State | CA
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Zip | 95242-9131
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Country | US
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Telephone | 209-339-4577
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Fax | 209-263-7278
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Provider Business Mailing Address
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Address Line | 1811 GRAND CANAL BLVD STE 8
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City | STOCKTON
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State | CA
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Zip | 95207-8107
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Country | US
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Telephone | 209-475-0309
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Fax | 209-475-0387
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A6202
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License Number State | CA
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