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General NPI Number Information
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NPI Number | 1750062345
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Entity Type | Individual
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Provider Name | LEANNE TERESE ROBBINS PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1660 E 14TH ST STE 401
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City | BROOKLYN
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State | NY
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Zip | 11229-1112
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Country | US
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Telephone | 646-883-0385
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Fax |
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Provider Business Mailing Address
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Address Line | 3 FRANKLIN ST
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City | ISLIP
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State | NY
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Zip | 11751-1605
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Country | US
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Telephone | 631-806-6007
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 030584
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License Number State | NY
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