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General NPI Number Information
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NPI Number | 1699596833
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Entity Type | Individual
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Provider Name | ROBIN A DACRES APRN
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 220 S DIXIE HWY STE 4
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City | LAKE WORTH BEACH
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State | FL
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Zip | 33460-4153
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Country | US
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Telephone | 954-774-1414
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Fax | 866-635-2090
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Provider Business Mailing Address
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Address Line | 16187 61ST PL N
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-3419
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Country | US
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Telephone | 954-593-4143
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11033571
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License Number State | FL
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