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General NPI Number Information
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NPI Number | 1841403441
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Entity Type | Individual
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Provider Name | BRYAN S ROBINSON DO
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 127 E REDSTONE AVE
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City | CRESTVIEW
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State | FL
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Zip | 32539-5358
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Country | US
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Telephone | 850-634-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 127 E REDSTONE AVE
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City | CRESTVIEW
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State | FL
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Zip | 32539-5358
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Country | US
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Telephone | 850-398-8725
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Fax | 850-398-8727
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DO0000001829
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License Number State | TN
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