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General NPI Number Information
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NPI Number | 1508490780
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL ROBINSON APRN, CRNA, DNAP
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Gender | Male
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 835 S VAN BUREN ST
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City | GREEN BAY
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State | WI
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Zip | 54301-3526
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Country | US
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Telephone | 920-423-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 5911 24TH AVE NW
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City | ROCHESTER
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State | MN
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Zip | 55901-3706
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Country | US
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Telephone | 865-567-4247
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 9915-33
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License Number State | WI
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