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General NPI Number Information
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NPI Number | 1144029745
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Entity Type | Individual
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Provider Name | HEATHER NICOLE ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 6544 ANGEL MOUNTAIN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89130-1845
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Country | US
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Telephone | 702-769-1872
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Fax |
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Provider Business Mailing Address
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Address Line | 7108 S KANNER HWY
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City | STUART
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State | FL
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Zip | 34997-7462
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Country | US
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Telephone | 855-832-6727
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | BACB1285422
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License Number State | NV
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