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General NPI Number Information
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NPI Number | 1588039796
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Entity Type | Individual
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Provider Name | ROBYN SYLVESTER RD LPN CDN
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Gender | Female
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 200 W DOMINICK ST
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City | ROME
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State | NY
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Zip | 13440-5846
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Country | US
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Telephone | 315-339-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 101 RUHAMAH AVE
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City | SYRACUSE
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State | NY
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Zip | 13205-3211
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Country | US
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Telephone | 315-339-6800
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Fax | 315-339-8075
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 000368
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License Number State | NY
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