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General NPI Number Information
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NPI Number | 1881859387
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Entity Type | Individual
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Provider Name | LAURA PATRICIA ROBISON D.M.D. M.S.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 5747 E 5TH ST
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City | TUCSON
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State | AZ
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Zip | 85711-2401
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Country | US
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Telephone | 520-745-0654
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Fax |
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Provider Business Mailing Address
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Address Line | 17878 E REPOSA CT
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City | GOLD CANYON
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State | AZ
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Zip | 85218-7513
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Country | US
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Telephone | 505-330-8444
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 7526
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License Number State | AZ
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