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General NPI Number Information
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NPI Number | 1730610916
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Entity Type | Individual
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Provider Name | ROBERT BRADLEY ROBINSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 907 E LAMAR ALEXANDER PKWY
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City | MARYVILLE
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State | TN
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Zip | 37804-5015
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Country | US
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Telephone | 865-983-7211
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Fax |
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Provider Business Mailing Address
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Address Line | 907 EAST LAMAR ALEXANDER PARKWAY
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City | MARYVILLE
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State | TN
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Zip | 37804-5015
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Country | US
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Telephone | 865-983-7211
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 67185
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License Number State | TN
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