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General NPI Number Information
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NPI Number | 1053351742
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Entity Type | Individual
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Provider Name | ESTHER MEMREROGE ROBINSON NP
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | VA GREATER LOS ANGELES HEALTHCARE SYSTEM 11301 WILSHIRE BLVD. BLDG. 213, RM 330 MAILCODE: 10C1
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City | LOS ANGELES
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State | CA
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Zip | 90073
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Country | US
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Telephone | 310-268-4282
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Fax | 310-268-4128
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Provider Business Mailing Address
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Address Line | 5114 W 142ND ST
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City | HAWTHORNE
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State | CA
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Zip | 90250-6608
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Country | US
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Telephone | 310-679-2841
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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 | 15522
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License Number State | CA
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