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General NPI Number Information
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NPI Number | 1891243564
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Entity Type | Individual
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Provider Name | TERRENCE B ROBINSON R.PH.
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Gender | Male
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 704 W DR MARTIN LUTHER KING JR BLVD
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City | SEFFNER
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State | FL
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Zip | 33584-4534
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Country | US
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Telephone | 813-681-4431
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20853
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City | TAMPA
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State | FL
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Zip | 33622-0853
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Country | US
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Telephone | 786-329-1211
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS26004
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License Number State | FL
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