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General NPI Number Information
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NPI Number | 1285729517
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Entity Type | Individual
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Provider Name | MYRA ELIZABETH ROBBINS APN
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4500 S LANCASTER RD
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City | DALLAS
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State | TX
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Zip | 75216-7167
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Country | US
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Telephone | 214-857-0633
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Fax | 214-462-4509
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Provider Business Mailing Address
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Address Line | 6039 MILTON ST
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City | DALLAS
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State | TX
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Zip | 75206-4405
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Country | US
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Telephone | 214-739-4849
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 517991
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License Number State | TX
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