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General NPI Number Information
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NPI Number | 1366142333
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Entity Type | Individual
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Provider Name | SHEENA ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 142 N EL CAMINO REAL UNIT A
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City | ENCINITAS
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State | CA
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Zip | 92024-2849
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Country | US
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Telephone | 760-533-9896
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Fax |
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Provider Business Mailing Address
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Address Line | 182 N GINA AVE
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City | EL CAJON
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State | CA
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Zip | 92019-1929
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Country | US
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Telephone | 323-500-3047
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | L9769
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License Number State | CA
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