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General NPI Number Information
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NPI Number | 1538788799
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Entity Type | Individual
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Provider Name | DANIELLE ELIZABETH ROBLA PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 7600 SW 87TH AVE STE 102
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City | MIAMI
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State | FL
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Zip | 33173-3635
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Country | US
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Telephone | 305-275-6770
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Fax |
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Provider Business Mailing Address
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Address Line | 7985 SW 125TH ST
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City | PINECREST
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State | FL
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Zip | 33156-6060
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Country | US
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Telephone | 786-395-4711
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1169564
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License Number State | FL
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