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General NPI Number Information
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NPI Number | 1235625294
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Entity Type | Individual
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Provider Name | SCOTT DAVID ROBINSON CNP
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Gender | Male
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 1 ANNA MARSH LANE
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City | BRATTLEBORO
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State | VT
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Zip | 05302-0530
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Country | US
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Telephone | 802-258-6796
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Fax | 802-258-3788
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Provider Business Mailing Address
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Address Line | 2 PROCTOR PL APT 2
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City | PROVIDENCE
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State | RI
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Zip | 02906-1620
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Country | US
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Telephone | 774-263-4194
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN59425
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN01843
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 101.0134647
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License Number State | VT
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