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General NPI Number Information
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NPI Number | 1992190441
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Entity Type | Individual
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Provider Name | ROBERT ROBBINS
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Gender | Male
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 04/01/2015
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Provider Practice Location Address
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Address Line | 4287 ELDAMAIN RD
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City | PLANO
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State | IL
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Zip | 60545-9711
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Country | US
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Telephone | 630-552-7804
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Fax | 630-552-3461
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Provider Business Mailing Address
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Address Line | 4287 ELDAMAIN RD
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City | PLANO
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State | IL
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Zip | 60545-9711
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Country | US
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Telephone | 630-552-7804
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Fax | 630-552-3461
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 090007361
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 4110
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License Number State | WI
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