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General NPI Number Information
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NPI Number | 1033370705
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Entity Type | Individual
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Provider Name | ROBYN B. VERA DO
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Gender | Female
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 1900 NW MYHRE RD
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City | SILVERDALE
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State | WA
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Zip | 98383-7662
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Country | US
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Telephone | 564-240-3100
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Fax | 564-240-3198
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Provider Business Mailing Address
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Address Line | 4230 BRIDGEPORT WAY W STE B
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-4335
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Country | US
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Telephone | 253-779-6301
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Fax | 253-627-8792
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | OP 60274192
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License Number State | WA
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