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General NPI Number Information
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NPI Number | 1720645344
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Entity Type | Individual
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Provider Name | ROBBIN M SPENCER AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 1873 WESTERN AVE STE 100
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City | ALBANY
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State | NY
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Zip | 12203-5028
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Country | US
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Telephone | 518-690-4420
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Fax | 518-690-4427
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Provider Business Mailing Address
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Address Line | 1873 WESTERN AVE STE 100
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City | ALBANY
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State | NY
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Zip | 12203-5028
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Country | US
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Telephone | 185-690-4420
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Fax | 518-690-4427
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | NP95011319
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | F308619-1
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License Number State | NY
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