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General NPI Number Information
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NPI Number | 1447389895
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Entity Type | Individual
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Provider Name | GUADALUPE ROBLES MISQUEZ N.P.
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Gender | Female
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 810 S MAIN ST
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City | ELKTON
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State | KY
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Zip | 42220-8812
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Country | US
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Telephone | 270-265-5600
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Fax | 270-265-5605
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Provider Business Mailing Address
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Address Line | 704 CLAYSTONE CT
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City | CLARKSVILLE
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State | TN
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Zip | 37040-5598
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Country | US
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Telephone | 818-751-9057
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4025224
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4025224
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 4025224
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 6510
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License Number State | CA
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