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General NPI Number Information
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NPI Number | 1275539934
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Entity Type | Individual
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Provider Name | LORI JEANNE ROBERTSON MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4200 CHINO HILLS PKWY STE 905
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City | CHINO HILLS
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State | CA
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Zip | 91709-3776
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Country | US
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Telephone | 909-606-2216
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Fax | 909-606-9599
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Provider Business Mailing Address
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Address Line | 13422 MONTSERRAT CT
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City | CHINO HILLS
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State | CA
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Zip | 91709-1327
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Country | US
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Telephone | 909-628-3146
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Fax | 909-590-4535
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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 | 15322
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License Number State | CA
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