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General NPI Number Information
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NPI Number | 1891242731
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Entity Type | Organization
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Legal Business Name | BART F. ROBISON DDS
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 16521 13TH AVE W SUITE 101
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City | LYNNWOOD
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State | WA
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Zip | 98037-8528
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Country | US
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Telephone | 360-651-9394
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Fax | 360-651-9262
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Provider Business Mailing Address
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Address Line | 16521 13TH AVE W SUITE 101
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City | LYNNWOOD
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State | WA
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Zip | 98037-8528
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Country | US
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Telephone | 360-651-9394
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Fax | 360-651-9262
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHEILA ANN RILEY
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Credential |
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Telephone | 360-651-9394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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