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General NPI Number Information
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NPI Number | 1720621386
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Entity Type | Individual
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Provider Name | JAMES ROBLEE DDS, MSD
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Gender | Male
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 162 E SUNBRIDGE DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2830
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Country | US
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Telephone | 479-313-2772
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Fax |
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Provider Business Mailing Address
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Address Line | 1598 E AMBER DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3087
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Country | US
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Telephone | 479-313-2772
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 4397
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number | 4397
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License Number State | AR
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