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General NPI Number Information
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NPI Number | 1497565634
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Entity Type | Individual
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Provider Name | ROBIN ANTIONETTE BRISCOE
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Gender | Female
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 4525 DAVIS AVE APT 204
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City | SUITLAND
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State | MD
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Zip | 20746-5027
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Country | US
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Telephone | 240-807-6206
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Fax | 240-807-6206
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Provider Business Mailing Address
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Address Line | 4525 DAVIS AVE APT 204
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City | SUITLAND
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State | MD
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Zip | 20746-5027
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Country | US
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Telephone | 240-807-6206
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Fax | 240-807-6206
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NA0000602962
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | NA0000602962
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License Number State | DC
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