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General NPI Number Information
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NPI Number | 1528915766
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Entity Type | Individual
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Provider Name | JACOB GEORGE ROBINSON SR. RN
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Gender | Male
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 2445 BEACH CHANNEL DR APT 1
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-1915
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Country | US
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Telephone | 718-219-3160
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Fax | 347-246-7710
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Provider Business Mailing Address
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Address Line | 2445 BEACH CHANNEL DR APT 1
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-1915
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Country | US
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Telephone | 718-219-3160
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Fax | 347-246-7710
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 499960
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License Number State | NY
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