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NPI 1346829348

NPI 1346829348 : ROBENSS PLANCHER : PALATKA, FL

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General NPI Number Information
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    NPI Number           |    1346829348
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    Entity Type          |    Individual 
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    Provider Name        |    ROBENSS PLANCHER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/06/2021
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    Last Update Date     |    10/23/2024
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Provider Practice Location Address
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    Address Line         |    6910 OLD WOLF BAY RD 
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    City                 |    PALATKA
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    State                |    FL
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    Zip                  |    32177-6800
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    Country              |    US
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    Telephone            |    386-328-7337
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    Fax                  |    386-325-3742
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Provider Business Mailing Address
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    Address Line         |    900 S PINE ISLAND RD STE 800 
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    City                 |    PLANTATION
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    State                |    FL
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    Zip                  |    33324-3923
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    Country              |    US
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    Telephone            |    954-967-6400
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    Fax                  |    954-337-5755
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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        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    APRN11011811
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    License Number State |    FL
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