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General NPI Number Information
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NPI Number | 1619456548
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Entity Type | Individual
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Provider Name | CHARLETTE ROBINSON DNP, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 07/11/2020
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Provider Practice Location Address
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Address Line | 3760 213TH PL
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City | MATTESON
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State | IL
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Zip | 60443-2549
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Country | US
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Telephone | 708-679-3385
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Fax | 708-679-3386
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Provider Business Mailing Address
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Address Line | 3760 213TH PL
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City | MATTESON
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State | IL
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Zip | 60443-2549
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Country | US
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Telephone | 708-679-3385
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Fax | 708-679-3386
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F06180151
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 209017917
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License Number State | IL
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