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General NPI Number Information
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NPI Number | 1023460433
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Entity Type | Individual
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Provider Name | ROBIN L BOBINMYER AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/09/2016
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 201 S ARTHUR ST
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City | HUMANSVILLE
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State | MO
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Zip | 65674-8400
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Country | US
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Telephone | 417-754-2223
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Fax | 417-754-8046
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Provider Business Mailing Address
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Address Line | 1500 N OAKLAND AVE
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City | BOLIVAR
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State | MO
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Zip | 65613-3011
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Country | US
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Telephone | 417-328-6501
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Fax | 417-328-6338
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2016019097
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 2016019097
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License Number State | MO
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