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General NPI Number Information
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NPI Number | 1023399185
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Entity Type | Individual
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Provider Name | ROBIN SHINALL PNP
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Gender | Female
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 09/02/2011
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Provider Practice Location Address
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Address Line | 2401 RAVINE WAY STE 302
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City | GLENVIEW
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State | IL
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Zip | 60025-7645
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Country | US
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Telephone | 847-998-3434
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Fax |
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Provider Business Mailing Address
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Address Line | 5227 CENTRAL AVE
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City | WESTERN SPRINGS
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State | IL
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Zip | 60558-1806
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Country | US
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Telephone | 708-246-6220
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Fax | 847-998-8584
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 209.008687041.250937
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License Number State | IL
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