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General NPI Number Information
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NPI Number | 1275302788
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Entity Type | Individual
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Provider Name | KAILEY JORDAN ROBBINS
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Gender | Female
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Dates
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Enumeration Date | 12/26/2023
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 2250 S FM STE 400
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City | DECATUR
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State | TX
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Zip | 76234
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Country | US
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Telephone | 888-376-5274
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Fax |
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Provider Business Mailing Address
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Address Line | 1771 COUNTY ROAD 129
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City | RISING STAR
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State | TX
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Zip | 76471-4728
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Country | US
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Telephone | 325-642-1180
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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 | 1149906
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License Number State | TX
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