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General NPI Number Information
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NPI Number | 1750433520
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Entity Type | Organization
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Legal Business Name | JAMES L ROBBINS DMD, ORAL & MAXILLOFACIAL SURGERY, LLC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 06/16/2011
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Provider Practice Location Address
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Address Line | 200 E STATE ST SUITE 103
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City | MEDIA
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State | PA
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Zip | 19063-3434
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Country | US
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Telephone | 610-565-7200
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Fax | 610-565-3770
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Provider Business Mailing Address
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Address Line | 200 E STATE ST SUITE 103
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City | MEDIA
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State | PA
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Zip | 19063-3434
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Country | US
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Telephone | 610-565-7200
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Fax | 610-565-3770
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES L ROBBINS
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Credential | DMD
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Telephone | 610-565-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS022786L
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License Number State | PA
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