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General NPI Number Information
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NPI Number | 1770104507
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Entity Type | Individual
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Provider Name | ROBERT TODD MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 12/29/2024
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Provider Practice Location Address
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Address Line | 8440 WALNUT HILL LN STE 800
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City | DALLAS
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State | TX
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Zip | 75231-3825
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Country | US
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Telephone | 214-345-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 CHESTERTON DR
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City | RICHARDSON
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State | TX
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Zip | 75080-2802
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Country | US
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Telephone | 405-760-7449
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | V1287
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License Number State | TX
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