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General NPI Number Information
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NPI Number | 1730861618
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Entity Type | Individual
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Provider Name | ROBBIN MARIE BREHM
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Gender | Female
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 2500 BELLE CHASSE HWY
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City | TERRYTOWN
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State | LA
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Zip | 70056-7127
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Country | US
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Telephone | 504-391-5152
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Fax | 504-391-1234
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Provider Business Mailing Address
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Address Line | 5145 RANDOLPH ST
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City | MARRERO
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State | LA
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Zip | 70072-4924
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Country | US
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Telephone | 504-481-1016
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Fax | 504-391-1234
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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 | 5280PT
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License Number State | LA
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