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General NPI Number Information
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NPI Number | 1225253420
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Entity Type | Individual
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Provider Name | DAWN MARIE ROBISON NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4085 UNIVERSITY BLVD S STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4362
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Country | US
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Telephone | 904-732-6679
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Fax | 904-730-0121
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Provider Business Mailing Address
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Address Line | 1516 HACKBERRY CT
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City | JACKSONVILLE
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State | FL
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Zip | 32259-5445
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Country | US
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Telephone | 904-287-5822
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Fax | 904-287-6846
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 858912
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License Number State | FL
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