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General NPI Number Information
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NPI Number | 1316760010
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Entity Type | Individual
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Provider Name | ROBYN ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 11/02/2024
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 8033 E 10 MILE RD APT 1222
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City | CENTER LINE
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State | MI
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Zip | 48015-1428
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Country | US
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Telephone | 313-725-0223
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Fax |
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Provider Business Mailing Address
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Address Line | 18431 SYRACUSE ST
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City | DETROIT
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State | MI
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Zip | 48234-2519
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Country | US
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Telephone | 313-725-0223
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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