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General NPI Number Information
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NPI Number | 1871694240
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Entity Type | Individual
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Provider Name | JULIE LARAE ROBBINS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 EAST WOODROW WILSON DRIVE
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City | JACKSON
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State | MS
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Zip | 39206
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Country | US
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Telephone | 601-362-4471
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Fax | 601-368-4456
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Provider Business Mailing Address
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Address Line | 640 TRICKHAMBRIDGE ROAD
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City | BRANDON
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State | MS
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Zip | 39042
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Country | US
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Telephone | 601-362-4471
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Fax | 601-368-4456
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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 | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | OT0078
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License Number State | MS
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