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General NPI Number Information
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NPI Number | 1174409643
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Entity Type | Individual
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Provider Name | LATYLIA ROBINSON WASHINGTON
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2409 LADLEY CT APT 2W
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City | SPRINGFIELD
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State | IL
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Zip | 62703-5507
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Country | US
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Telephone | 447-226-9614
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 N RUTLEDGE ST APT A
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City | SPRINGFIELD
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State | IL
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Zip | 62702-2587
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Country | US
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Telephone | 444-226-9614
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | IL
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