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General NPI Number Information
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NPI Number | 1679592745
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Entity Type | Individual
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Provider Name | MICHAEL EDWARD ROBIOLIO M. D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 340 MAIN ST
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City | DARLINGTON
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State | WI
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Zip | 53530-1426
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Country | US
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Telephone | 608-482-2005
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Fax | 855-574-5406
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Provider Business Mailing Address
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Address Line | 13645 WILDCAT RD
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City | DARLINGTON
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State | WI
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Zip | 53530-9110
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Country | US
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Telephone | 608-482-2005
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Fax | 855-574-5406
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35208-020
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License Number State | WI
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