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NPI 1861604225

NPI 1861604225 : BRANDY ROCHELLE ROBINSON MD : GRAND PRAIRIE, TX

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General NPI Number Information
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    NPI Number           |    1861604225
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    Entity Type          |    Individual 
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    Provider Name        |    BRANDY ROCHELLE ROBINSON MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/05/2007
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    Last Update Date     |    03/11/2026
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Provider Practice Location Address
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    Address Line         |    5224 S STATE HIGHWAY 360 SUITE 230
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    City                 |    GRAND PRAIRIE
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    State                |    TX
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    Zip                  |    75052-0950
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    Country              |    US
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    Telephone            |    972-522-0691
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    Fax                  |    972-522-1053
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Provider Business Mailing Address
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    Address Line         |    4305 W WHEATLAND RD STE 130
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75237-3311
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    Country              |    US
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    Telephone            |    682-272-4268
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    Fax                  |    682-282-3018
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    M5906
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    C195544
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    License Number State |    CA
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