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General NPI Number Information
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NPI Number | 1023533916
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Entity Type | Individual
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Provider Name | AMY L. ROBILLARD FNP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2017
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Last Update Date | 11/02/2018
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Provider Practice Location Address
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Address Line | 360 PEAK ONE DRIVE SUITE 100
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City | FRISCO
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State | CO
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Zip | 80443
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Country | US
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Telephone | 970-669-4040
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Fax | 970-668-6699
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Provider Business Mailing Address
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Address Line | 604 IDLEWILD DR
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City | DILLON
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State | CO
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Zip | 80435-7639
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Country | US
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Telephone | 720-480-1316
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0993128-NP
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License Number State | CO
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