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General NPI Number Information
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NPI Number | 1083481501
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Entity Type | Individual
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Provider Name | ROBYN KING APRN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 112 W CENTER ST STE 200
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-6073
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Country | US
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Telephone | 479-935-3076
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Fax |
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Provider Business Mailing Address
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Address Line | 423 W HAWTHORN ST
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-1935
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Country | US
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Telephone | 918-706-5610
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 124149
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License Number State | AR
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