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General NPI Number Information
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NPI Number | 1881727089
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Entity Type | Individual
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Provider Name | TODD ELLIS ROBSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 12/16/2013
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Provider Practice Location Address
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Address Line | 24 IDLEWOOD BLVD SUITE #102
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City | STAUNTON
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State | VA
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Zip | 24401-9303
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Country | US
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Telephone | 540-248-5711
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Fax | 540-248-3744
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Provider Business Mailing Address
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Address Line | PO BOX 36
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City | FISHERSVILLE
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State | VA
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Zip | 22939-0036
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Country | US
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Telephone | 540-248-5711
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Fax | 540-248-3744
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104001627
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License Number State | VA
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