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General NPI Number Information
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NPI Number | 1700165339
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Entity Type | Individual
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Provider Name | RONALD W ROBINSON JR. S.T.N.A
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Gender | Male
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Dates
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Enumeration Date | 08/13/2011
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Last Update Date | 08/13/2011
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Provider Practice Location Address
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Address Line | 1391 W 64TH ST APT. #3
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City | CLEVELAND
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State | OH
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Zip | 44102-2140
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Country | US
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Telephone | 216-245-7596
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Fax |
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Provider Business Mailing Address
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Address Line | 1391 W 64TH ST APT. #3
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City | CLEVELAND
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State | OH
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Zip | 44102-2140
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Country | US
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Telephone | 216-245-7596
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 400081460202
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License Number State | OH
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