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General NPI Number Information
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NPI Number | 1679599419
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Entity Type | Individual
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Provider Name | GEOFFREY N ROBINSON RPH, MBA
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 6591 W HAMMERMILL DR
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City | BOISE
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State | ID
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Zip | 83714-7902
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Country | US
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Telephone | 512-636-0894
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Fax |
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Provider Business Mailing Address
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Address Line | 6591 W HAMMERMILL DR
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City | BOISE
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State | ID
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Zip | 83714-7902
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Country | US
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Telephone | 512-636-0894
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P8142
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0011245
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 62044
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13453
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 37651
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License Number State | TX
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