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General NPI Number Information
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NPI Number | 1932666278
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Entity Type | Individual
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Provider Name | JOSEPH ROBISON PT, DPT, MSC, NCS
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Gender | Male
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 111 WOODROW WILSON DR STE C
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City | VALDOSTA
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State | GA
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Zip | 31602-2583
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Country | US
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Telephone | 229-262-4075
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Fax | 229-262-4076
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Provider Business Mailing Address
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Address Line | 111 WOODROW WILSON DR STE C
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City | VALDOSTA
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State | GA
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Zip | 31602-2583
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Country | US
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Telephone | 229-262-4075
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Fax | 229-262-4076
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PT012322
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License Number State | GA
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