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General NPI Number Information
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NPI Number | 1235281965
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Entity Type | Individual
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Provider Name | ROBIN RENEE OLIVER RNC, WHNP
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 3619 RICHARDSON SQUARE DR SUITE 140
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City | ARNOLD
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State | MO
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Zip | 63010-6022
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Country | US
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Telephone | 636-717-6780
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Fax | 314-525-1028
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Provider Business Mailing Address
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Address Line | 5866 PARKMONT DR
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City | IMPERIAL
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State | MO
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Zip | 63052-2160
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Country | US
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Telephone | 636-467-5820
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 103266
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License Number State | MO
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