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General NPI Number Information
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NPI Number | 1396329249
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Entity Type | Individual
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Provider Name | JORY ROBINSON APRN
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Gender | Male
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 5 PERRYRIDGE RD
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City | GREENWICH
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State | CT
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Zip | 06830-4608
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Country | US
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Telephone | 203-863-3637
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Fax |
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Provider Business Mailing Address
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Address Line | 82 HAZELWOOD AVE
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City | BRIDGEPORT
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State | CT
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Zip | 06605-1420
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Country | US
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Telephone | 203-685-1837
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 839723
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 145411
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12699
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F354636
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License Number State | NY
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