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General NPI Number Information
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NPI Number | 1417723362
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Entity Type | Individual
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Provider Name | CAITLIN JENNA ROBLEDO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 1150 STATE HIGHWAY 248 STE 200
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City | BRANSON
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State | MO
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Zip | 65616-4186
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Country | US
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Telephone | 417-336-4112
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Fax | 417-335-7588
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Provider Business Mailing Address
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Address Line | PO BOX 802843
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City | KANSAS CITY
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State | MO
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Zip | 64180-2843
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Country | US
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Telephone | 417-730-6430
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Fax | 417-269-7567
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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 | 2023031632
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License Number State | MO
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