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NPI 1043689664

NPI 1043689664 : MICHELLE ROBINSON NP-C : HICKORY, NC

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General NPI Number Information
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    NPI Number           |    1043689664
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE ROBINSON NP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/24/2015
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    Last Update Date     |    09/24/2015
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Provider Practice Location Address
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    Address Line         |    2365 SPRINGS RD NE 
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    City                 |    HICKORY
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    State                |    NC
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    Zip                  |    28601-3067
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    Country              |    US
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    Telephone            |    828-325-0950
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1018 JUDIE DR 
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    City                 |    SANDWICH
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    State                |    IL
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    Zip                  |    60548-9205
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    Country              |    US
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    Telephone            |    815-342-3613
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    5008032
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    License Number State |    NC
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