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General NPI Number Information
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NPI Number | 1457887010
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Entity Type | Individual
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Provider Name | ROBERTA TREWYN RN
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Gender | Female
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 05/02/2017
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Provider Practice Location Address
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Address Line | 10000 BAY PINES BLVD
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City | BAY PINES
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State | FL
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Zip | 33744-8200
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Country | US
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Telephone | 727-439-1567
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Fax |
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Provider Business Mailing Address
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Address Line | 11025 77TH ST E
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City | PARRISH
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State | FL
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Zip | 34219-2751
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Country | US
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Telephone | 803-628-8004
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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 | 286500000X
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Taxonomy Name | Military Hospital
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License Number | RN9360597
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number | 201700104RN
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License Number State | OR
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