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General NPI Number Information
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NPI Number | 1609046564
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Entity Type | Individual
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Provider Name | ROBIN E GIBSON-SIMMS R.N. FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 5151 PARK AVE
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City | FAIRFIELD
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State | CT
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Zip | 06825-1090
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Country | US
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Telephone | 516-663-8882
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Fax |
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Provider Business Mailing Address
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Address Line | 37 TROY AVE
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City | BROOKLYN
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State | NY
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Zip | 11213-1130
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Country | US
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Telephone | 347-512-1057
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 22 565727
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 348936
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 405755
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License Number State | NY
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