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General NPI Number Information
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NPI Number | 1679697940
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Entity Type | Individual
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Provider Name | ROBIN LYNN SMITH CPHT
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1230 S BROAD ST
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City | BROOKSVILLE
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State | FL
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Zip | 34601-3132
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Country | US
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Telephone | 352-799-1832
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Fax | 352-754-1977
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Provider Business Mailing Address
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Address Line | 21403 ANDERSON RD
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City | BROOKSVILLE
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State | FL
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Zip | 34601-1431
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Country | US
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Telephone | 352-799-1832
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Fax | 352-754-1977
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 240101021159267
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License Number State | FL
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