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General NPI Number Information
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NPI Number | 1093216822
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Entity Type | Individual
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Provider Name | NICOLE ROBINSON PT
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Gender | Female
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 40000 8 MILE RD
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City | NORTHVILLE
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State | MI
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Zip | 48167-2134
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Country | US
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Telephone | 248-380-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 4531 PHILIP
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City | COMMERCE TWP
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State | MI
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Zip | 48382-1480
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Country | US
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Telephone | 248-767-2528
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5501003997
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License Number State | MI
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