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General NPI Number Information
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NPI Number | 1659411320
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Entity Type | Organization
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Legal Business Name | ROBISON VISION INC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 5957 W 44TH AVE
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City | DENVER
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State | CO
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Zip | 80212-7410
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Country | US
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Telephone | 303-222-4459
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Fax | 303-477-5968
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Provider Business Mailing Address
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Address Line | PO BOX 745819
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City | ARVADA
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State | CO
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Zip | 80006-5819
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Country | US
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Telephone | 720-272-4940
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Fax | 303-477-5968
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Authorized Official
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Title or Position | PRESIDENT
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Name | COLIN ROBISON
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Credential | OD
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Telephone | 303-222-4459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2242
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License Number State | CO
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