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General NPI Number Information
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NPI Number | 1780862128
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Entity Type | Organization
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Legal Business Name | KEVIN B. ROBINSON, MD, PC
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 5889 BAY RD SUITE #105
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City | SAGINAW
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State | MI
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Zip | 48604-2540
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Country | US
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Telephone | 989-790-3669
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Fax | 989-790-4945
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Provider Business Mailing Address
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Address Line | 5889 BAY RD SUITE #105
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City | SAGINAW
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State | MI
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Zip | 48604-2540
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Country | US
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Telephone | 989-790-3669
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Fax | 989-790-4945
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN BARTEL ROBINSON
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Credential | M.D.
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Telephone | 989-790-3669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301064676
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License Number State | MI
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