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General NPI Number Information
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NPI Number | 1245193192
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Entity Type | Individual
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Provider Name | ROBIN FISK RN
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 2743 PERIMETER PKWY STE 100
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City | AUGUSTA
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State | GA
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Zip | 30909-6415
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Country | US
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Telephone | 706-619-2058
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Fax | 855-236-4893
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Provider Business Mailing Address
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Address Line | 2743 PERIMETER PKWY STE 100
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City | AUGUSTA
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State | GA
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Zip | 30909-6415
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Country | US
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Telephone | 706-619-2058
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Fax | 855-236-4893
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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 | RN106461
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License Number State | GA
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