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General NPI Number Information
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NPI Number | 1255827044
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Entity Type | Individual
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Provider Name | HICHINACA ROBERSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 719 RODEL CV STE 1015
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City | LAKE MARY
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State | FL
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Zip | 32746-5716
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Country | US
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Telephone | 321-843-1391
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Fax | 407-636-7864
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Provider Business Mailing Address
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Address Line | 719 RODEL CV
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City | LAKE MARY
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State | FL
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Zip | 32746-5716
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Country | US
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Telephone | 407-302-3119
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Fax | 407-302-7038
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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 | APRN9297122
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License Number State | FL
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