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NPI 1790703999

NPI 1790703999 : ERIC A ROBINSON D.O. : CAMP LEJEUNE, NC

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General NPI Number Information
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    NPI Number           |    1790703999
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC A ROBINSON D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/17/2006
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    Last Update Date     |    06/17/2021
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Provider Practice Location Address
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    Address Line         |    100 BREWSTER BLVD 
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    City                 |    CAMP LEJEUNE
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    State                |    NC
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    Zip                  |    28547-2538
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    Country              |    US
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    Telephone            |    910-450-4841
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2022 N US HIGHWAY 75 
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    City                 |    SHERMAN
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    State                |    TX
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    Zip                  |    75090-2802
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    Country              |    US
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    Telephone            |    903-357-5003
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    2006-00363
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    6738
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    License Number State |    OK
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