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General NPI Number Information
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NPI Number | 1295279156
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Entity Type | Individual
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Provider Name | SUSAN MARIE ROBINSON AGNP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 2260 TATE BLVD SE SUITE 202
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City | HICKORY
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State | NC
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Zip | 28602
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Country | US
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Telephone | 704-978-1145
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1845
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City | STATESVILLE
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State | NC
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Zip | 28687-1845
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Country | US
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Telephone | 704-873-4277
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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 | CNP-03126
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5014445
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License Number State | NC
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