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General NPI Number Information
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NPI Number | 1851585814
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Entity Type | Individual
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Provider Name | ROBIN MEEK M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | BLUEGRASS FUNCTIONAL MEDICINE 841 CORPORATE DRIVE, SUITE 204
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City | LEXINGTON
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State | KY
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Zip | 40503
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Country | US
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Telephone | 859-300-3007
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Fax | 912-434-4931
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Provider Business Mailing Address
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Address Line | BLUEGRASS FUNCTIONAL MEDICINE 841 CORPORATE DRIVE, SUITE 204
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City | LEXINGTON
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State | KY
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Zip | 40503
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Country | US
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Telephone | 859-300-3007
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Fax | 912-434-4931
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25856
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License Number State | KY
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