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General NPI Number Information
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NPI Number | 1750064606
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Entity Type | Individual
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Provider Name | MACIE ROBINSON FNP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2023
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 300 S COLORADO ST STE B
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City | LOCKHART
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State | TX
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Zip | 78644-2707
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Country | US
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Telephone | 512-398-2578
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Fax | 512-398-9663
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Provider Business Mailing Address
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Address Line | 300 S COLORADO ST STE B
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City | LOCKHART
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State | TX
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Zip | 78644-2707
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Country | US
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Telephone | 832-385-5289
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1074007
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License Number State | TX
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