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General NPI Number Information
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NPI Number | 1700294469
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Entity Type | Individual
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Provider Name | SLOAN ROBISON DMD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 605 OLD BALLAS RD STE 118
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City | SAINT LOUIS
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State | MO
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Zip | 63141-7070
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Country | US
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Telephone | 801-300-5067
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Fax |
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Provider Business Mailing Address
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Address Line | 11225 EMERALD PINE LN
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City | LAS VEGAS
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State | NV
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Zip | 89138-1589
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Country | US
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Telephone | 801-300-5067
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7337
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN.00202304
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2500075993
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License Number State | MO
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