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General NPI Number Information
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NPI Number | 1811972995
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Entity Type | Individual
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Provider Name | JAY A ROBINSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2005
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 850 MAIN STREET
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City | COALPORT
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State | PA
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Zip | 16627-0375
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Country | US
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Telephone | 814-672-5141
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Fax | 814-672-5461
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Provider Business Mailing Address
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Address Line | PO BOX 375
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City | COALPORT
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State | PA
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Zip | 16627-0375
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Country | US
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Telephone | 814-672-5141
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Fax | 814-672-5461
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | MD029450E
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License Number State | PA
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