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General NPI Number Information
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NPI Number | 1982877684
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Entity Type | Individual
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Provider Name | ROBERT BABSON
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Gender | Male
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 1485 INTERNATIONAL PKWY STE 2051
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City | HEATHROW
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State | FL
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Zip | 32746-5352
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Country | US
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Telephone | 800-798-6035
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1950
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City | PIGEON FORGE
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State | TN
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Zip | 37868-1950
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Country | US
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Telephone | 865-406-6235
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4618822
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License Number State | TN
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