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NPI 1942423769

NPI 1942423769 : GLENN R ROBINSON DC : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1942423769
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    Entity Type          |    Individual 
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    Provider Name        |    GLENN R ROBINSON DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/10/2007
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    Last Update Date     |    06/04/2012
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Provider Practice Location Address
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    Address Line         |    4710 PRESTON RD STE 308
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75034-8546
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    Country              |    US
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    Telephone            |    214-494-4549
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    Fax                  |    214-494-4585
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Provider Business Mailing Address
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    Address Line         |    4710 PRESTON RD STE 308
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75034-8546
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    Country              |    US
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    Telephone            |    214-494-4549
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    Fax                  |    214-494-4585
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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       |    4991
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    License Number State |    TX
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