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General NPI Number Information
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NPI Number | 1770786956
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Entity Type | Organization
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Legal Business Name | BRAD N. ROBINSON
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/10/2007
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Provider Practice Location Address
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Address Line | 7400 GRANBY ST SUITE F
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City | NORFOLK
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State | VA
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Zip | 23505-3436
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Country | US
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Telephone | 757-588-8908
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Fax | 757-583-3069
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Provider Business Mailing Address
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Address Line | 7400 GRANBY ST SUITE F
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City | NORFOLK
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State | VA
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Zip | 23505-3436
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Country | US
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Telephone | 757-588-8908
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Fax | 757-583-3069
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRADBURY NORTON ROBINSON
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Credential | D.C.
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Telephone | 757-588-8908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104000627
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License Number State | VA
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