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General NPI Number Information
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NPI Number | 1144830803
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Entity Type | Individual
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Provider Name | ROBERT EUGENE SCRIBNER III MSN, NP-C
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Gender | Male
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 27209 LAHSER RD STE 120
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City | SOUTHFIELD
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State | MI
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Zip | 48034-8402
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Country | US
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Telephone | 248-996-8730
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Fax | 248-996-8926
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Provider Business Mailing Address
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Address Line | 13913 TOEPFER RD
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City | WARREN
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State | MI
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Zip | 48089-5842
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Country | US
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Telephone | 616-485-8022
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Fax | 313-745-4273
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704298931
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License Number State | MI
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