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NPI 1033725817

NPI 1033725817 : ROBIN MCLINN ACNPC-AG : GLENDALE, AZ

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General NPI Number Information
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    NPI Number           |    1033725817
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    Entity Type          |    Individual 
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    Provider Name        |    ROBIN MCLINN ACNPC-AG
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/17/2020
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    Last Update Date     |    04/30/2021
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Provider Practice Location Address
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    Address Line         |    5750 W THUNDERBIRD RD STE 300 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85306-5615
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    Country              |    US
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    Telephone            |    623-238-7352
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5750 W THUNDERBIRD RD STE 300 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85306-5615
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    Country              |    US
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    Telephone            |    801-318-6829
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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        |    163WX0200X
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    Taxonomy Name        |    Oncology Registered Nurse
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    License Number       |    RN188738
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    257221
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    License Number State |    AZ
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