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General NPI Number Information
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NPI Number | 1750035481
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Entity Type | Individual
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Provider Name | MRS. LINNETTE ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 6781 NW ABIGAIL AVE
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-8335
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Country | US
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Telephone | 772-878-8191
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Fax | 772-878-8191
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Provider Business Mailing Address
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Address Line | 6781 NW ABIGAIL AVE
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-8335
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Country | US
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Telephone | 772-979-2279
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Fax | 772-878-8191
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 151593
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License Number State | FL
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