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General NPI Number Information
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NPI Number | 1447545645
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Entity Type | Individual
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Provider Name | KRISTEN LYN ROBINSON PMHNP, FNP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 202 E EARLL DR SUITE 200
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City | PHOENIX
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State | AZ
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Zip | 85012-2634
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Country | US
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Telephone | 602-808-2800
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Fax | 602-808-2799
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Provider Business Mailing Address
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Address Line | 2754 S HERITAGE DR
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City | GILBERT
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State | AZ
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Zip | 85295-7165
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Country | US
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Telephone | 704-840-5623
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AP4084
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP8992
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5019414
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License Number State | NC
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