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NPI 1982840989

NPI 1982840989 : ROBINSON FAMILY PRACTICE AND COSMETICS, LLC : PARIS, TX

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General NPI Number Information
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    NPI Number           |    1982840989
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBINSON FAMILY PRACTICE AND COSMETICS, LLC 
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Dates
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    Enumeration Date     |    12/21/2008
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    Last Update Date     |    02/17/2017
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Provider Practice Location Address
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    Address Line         |    707 LAMAR AVENUE SUITE D
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75460-4460
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    Country              |    US
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    Telephone            |    903-785-3000
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    Fax                  |    903-785-3005
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Provider Business Mailing Address
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    Address Line         |    707 LAMAR AVENUE SUITE D
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75460-4460
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    Country              |    US
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    Telephone            |    903-785-3000
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    Fax                  |    903-785-3005
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Authorized Official
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    Title or Position    |    FNP-BC
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    Name                 |     CAROLYN JAN ROBINSON 
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    Credential           |    
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    Telephone            |    903-785-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    691998
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    License Number State |    TX
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