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General NPI Number Information
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NPI Number | 1376052704
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Entity Type | Individual
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Provider Name | CHARICE LEHUALANI ROBINS LPN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 09/28/2017
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE., ATTN: MCHJ-CLQ-C
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City | TACOMA
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State | WA
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Zip | 98431
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Country | US
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Telephone | 253-968-3869
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 WILIKINA DR APT B701
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City | WAHIAWA
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State | HI
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Zip | 96786-3402
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Country | US
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Telephone | 808-383-1873
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 18362
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LP60508988
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 259232
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License Number State | CA
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