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General NPI Number Information
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NPI Number | 1922050376
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Entity Type | Individual
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Provider Name | JACOB GENE ROBINSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 4500 ARROWHEAD RIDGE DR SE STE 102
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City | RIO RANCHO
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State | NM
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Zip | 87124-5986
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Country | US
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Telephone | 505-867-1122
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Fax | 866-929-7166
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Provider Business Mailing Address
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Address Line | 4500 ARROWHEAD RIDGE DR SE STE 102
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City | RIO RANCHO
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State | NM
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Zip | 87124-5986
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Country | US
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Telephone | 505-867-1122
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Fax | 866-929-7166
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1650
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License Number State | NM
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