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General NPI Number Information
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NPI Number | 1568529618
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Entity Type | Individual
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Provider Name | DIANA LYNN ROBINS RNC MSN NP
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Gender | Female
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 04/06/2018
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Provider Practice Location Address
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Address Line | 28755 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48088-4395
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Country | US
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Telephone | 586-573-9077
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Fax |
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Provider Business Mailing Address
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Address Line | 46126 ROCKFORD DR
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-5609
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Country | US
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Telephone | 586-566-4059
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 4704157677
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704157677
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License Number State | MI
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