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General NPI Number Information
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NPI Number | 1255211454
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Entity Type | Individual
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Provider Name | GARRY ROBINSON
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Gender | Male
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 785 W SHERMAN AVE FL 1
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City | VINELAND
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State | NJ
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Zip | 08360-6913
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Country | US
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Telephone | 856-451-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 645 LUMMISTOWN RD
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City | CEDARVILLE
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State | NJ
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Zip | 08311-2221
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Country | US
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Telephone | 856-357-2818
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ153697000
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License Number State | NJ
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