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General NPI Number Information
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NPI Number | 1306025358
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Entity Type | Individual
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Provider Name | ROBYN A. COTLER MS RD CDN
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Gender | Female
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 700 OLD COUNTRY ROAD
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City | PLAINVIEW
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State | NY
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Zip | 11803
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Country | US
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Telephone | 516-433-9496
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Fax | 516-931-1273
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Provider Business Mailing Address
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Address Line | 5 HICKMAN ST
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City | SYOSSET
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State | NY
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Zip | 11791
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Country | US
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Telephone | 516-433-9496
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 004597
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License Number State |
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