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General NPI Number Information
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NPI Number | 1407884547
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Entity Type | Individual
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Provider Name | MARY JO ROBBINS FNP
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 375-C COURT STREET
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City | SNEEDVILLE
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State | TN
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Zip | 37869-0516
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Country | US
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Telephone | 423-733-2121
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Fax | 423-733-4563
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Provider Business Mailing Address
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Address Line | PO BOX 70403
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City | JOHNSON CITY
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State | TN
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Zip | 37614-1703
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Country | US
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Telephone | 423-439-4078
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Fax | 423-439-4060
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN005259
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License Number State | TN
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