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General NPI Number Information
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NPI Number | 1912050428
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Entity Type | Individual
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Provider Name | CHRIS REGIS ROBIN P.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1101 GRAND POINT AVE
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City | BREAUX BRIDGE
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State | LA
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Zip | 70517-3917
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Country | US
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Telephone | 337-332-5186
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Fax | 337-332-2661
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Provider Business Mailing Address
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Address Line | 1053 BEAR CREEK CIR
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City | BREAUX BRIDGE
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State | LA
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Zip | 70517-6741
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Country | US
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Telephone | 337-332-3181
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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 | 16333
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License Number State | LA
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