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General NPI Number Information
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NPI Number | 1134355936
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Entity Type | Individual
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Provider Name | ROBYN D. WING MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 10/29/2018
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Provider Practice Location Address
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Address Line | 593 EDDY ST CLAVERICK 2
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City | PROVIDENCE
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State | RI
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Zip | 02903-4923
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Country | US
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Telephone | 401-444-4900
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Fax | 401-444-4288
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Provider Business Mailing Address
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Address Line | 593 EDDY ST CLAVERICK 2
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City | PROVIDENCE
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State | RI
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Zip | 02903-4923
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Country | US
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Telephone | 401-444-4900
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Fax | 401-444-4288
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD14618
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 248913
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | MD14618
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License Number State | RI
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