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General NPI Number Information
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NPI Number | 1891679528
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Entity Type | Individual
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Provider Name | JAMIE ELIZABETH ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 3777 PEACHTREE RD NE APT 1311
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City | BROOKHAVEN
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State | GA
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Zip | 30319-5201
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Country | US
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Telephone | 334-322-8243
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Fax | 334-322-8243
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Provider Business Mailing Address
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Address Line | 559 PIKE RD
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City | PIKE ROAD
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State | AL
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Zip | 36064-2249
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Country | US
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Telephone | 334-322-8243
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 214984
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License Number State | AL
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