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General NPI Number Information
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NPI Number | 1407869092
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Entity Type | Individual
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Provider Name | HEATHER ANN ROBBEN O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 310 N 6TH ST
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City | WAKEENEY
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State | KS
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Zip | 67672-1805
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Country | US
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Telephone | 785-743-5522
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Fax | 785-743-5577
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Provider Business Mailing Address
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Address Line | PO BOX 458
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City | WAKEENEY
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State | KS
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Zip | 67672-0458
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Country | US
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Telephone | 785-743-5522
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Fax | 785-743-5577
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1751
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License Number State | KS
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