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General NPI Number Information
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NPI Number | 1780298091
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Entity Type | Individual
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Provider Name | ROBENSON EXUME
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Gender | Male
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 2935 NW 91ST ST
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City | MIAMI
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State | FL
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Zip | 33147-3417
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Country | US
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Telephone | 540-850-4921
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Fax |
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Provider Business Mailing Address
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Address Line | 2935 NW 91ST ST
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City | MIAMI
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State | FL
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Zip | 33147-3417
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Country | US
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Telephone | 540-850-4921
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0024180154
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F08200696
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License Number State | FL
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