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General NPI Number Information
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NPI Number | 1356624118
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Entity Type | Individual
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Provider Name | ROBIN MARR ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 6847 N. CHESTNUT STREET SUITE 310
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City | RAVENNA
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State | OH
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Zip | 44266
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Country | US
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Telephone | 330-296-2819
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Fax | 330-296-9503
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Provider Business Mailing Address
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Address Line | 2790 SILVER FOX DR. SW
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City | WARREN
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State | OH
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Zip | 44481-9236
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Country | US
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Telephone | 330-824-3296
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | COA 12302-NP
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License Number State | OH
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