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General NPI Number Information
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NPI Number | 1336162031
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Entity Type | Individual
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Provider Name | ROBERT WESLEY RICKARD APRN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 2216 PADRE BLVD, SUITE B, PMB 511
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City | SOUTH PADRE ISLAND
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State | TX
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Zip | 78597
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Country | US
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Telephone | 956-564-0463
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Fax |
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Provider Business Mailing Address
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Address Line | 2216 PADRE BLVD, SUITE B, PMB 511
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City | SOUTH PADRE ISLAND
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State | TX
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Zip | 78597
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Country | US
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Telephone | 956-564-0463
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 220055
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP111762
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-127234
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License Number State | MT
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