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General NPI Number Information
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NPI Number | 1225638414
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Entity Type | Individual
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Provider Name | ROBYN OLIVER
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 620 S INTERSTATE 35
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City | GEORGETOWN
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State | TX
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Zip | 78628-4157
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Country | US
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Telephone | 512-869-4966
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Fax | 512-869-2188
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Provider Business Mailing Address
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Address Line | 1029 SHINNECOCK HILLS DR
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City | GEORGETOWN
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State | TX
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Zip | 78628-1192
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 34144
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License Number State | TX
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