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General NPI Number Information
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NPI Number | 1861719957
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Entity Type | Individual
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Provider Name | BELINDA KAY ROBERTSON RDH
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Gender | Female
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Dates
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Enumeration Date | 04/28/2010
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 302 W JEFFERSON ST
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City | KIRKSVILLE
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State | MO
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Zip | 63501-3416
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Country | US
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Telephone | 660-626-2741
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Fax | 660-626-2188
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Provider Business Mailing Address
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Address Line | 516 FRONT ST
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City | KIRKSVILLE
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State | MO
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Zip | 63501-8334
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Country | US
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Telephone | 660-665-5576
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Fax |
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 2207016324
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License Number State | MO
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