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General NPI Number Information
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NPI Number | 1912015314
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Entity Type | Individual
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Provider Name | ROBIN D SHEETS DDS
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Gender | Male
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Dates
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Enumeration Date | 08/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 98 S 100 E SUITE B
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City | FOWLER
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State | IN
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Zip | 47944
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Country | US
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Telephone | 765-884-0018
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 456
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City | FOWLER
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State | IN
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Zip | 47944-0456
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Country | US
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Telephone | 765-884-0018
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12007897A
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License Number State | IN
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