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General NPI Number Information
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NPI Number | 1316269871
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Entity Type | Individual
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Provider Name | REGINA ELISE ROBISON APRN
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Gender | Female
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 306 US HIGHWAY 41A S
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City | DIXON
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State | KY
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Zip | 42409-9427
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Country | US
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Telephone | 270-213-3635
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Fax | 270-213-5015
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Provider Business Mailing Address
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Address Line | 2363 LYCE DUNCAN RD
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City | DIXON
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State | KY
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Zip | 42409-9761
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Country | US
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Telephone | 270-213-0094
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Fax | 270-639-9499
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3006673
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3006673
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License Number State | KY
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