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General NPI Number Information
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NPI Number | 1366195083
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Entity Type | Individual
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Provider Name | KATHY DIANE ROBISON APRN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 760 BLACKWEASEL RD.
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City | BROWNING
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State | MT
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Zip | 59417
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Country | US
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Telephone | 406-338-6100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1557
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City | BROWNING
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State | MT
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Zip | 59417-1557
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Country | US
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Telephone | 479-461-0817
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 191988
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License Number State | MT
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