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General NPI Number Information
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NPI Number | 1669864393
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Entity Type | Individual
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Provider Name | ROBIN TARA KAMIL DPT
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Gender | Female
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Dates
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Enumeration Date | 03/04/2015
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 55 EVANS RD
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City | MADBURY
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State | NH
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Zip | 03823-7621
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Country | US
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Telephone | 603-554-2618
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Fax |
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Provider Business Mailing Address
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Address Line | 5 NORTHWAY CIR APT 4
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City | DOVER
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State | NH
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Zip | 03820-2426
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Country | US
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Telephone | 631-662-1351
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3307
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License Number State | NH
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