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General NPI Number Information
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NPI Number | 1821974130
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Entity Type | Individual
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Provider Name | GARRETT ROBINSON
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Gender | Male
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 13837 CIRCA CROSSING DR
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City | LITHIA
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State | FL
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Zip | 33547-4382
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Country | US
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Telephone | 813-684-2663
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Fax | 813-658-6222
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Provider Business Mailing Address
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Address Line | 13837 CIRCA CROSSING DR
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City | LITHIA
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State | FL
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Zip | 33547-4382
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Country | US
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Telephone | 813-684-2663
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Fax | 813-658-6222
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9120823
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License Number State | FL
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