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General NPI Number Information
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NPI Number | 1235272097
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Entity Type | Individual
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Provider Name | JILL ROBIN BARON M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 1036 PARK AVE STE 1B
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City | NEW YORK
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State | NY
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Zip | 10028-0971
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Country | US
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Telephone | 646-472-5043
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Fax | 646-224-6946
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Provider Business Mailing Address
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Address Line | 1036 PARK AVE STE 1B
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City | NEW YORK
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State | NY
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Zip | 10028-0971
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Country | US
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Telephone | 646-472-5043
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Fax | 646-224-6946
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 171742-1
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License Number State | NY
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