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General NPI Number Information
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NPI Number | 1790315729
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Entity Type | Individual
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Provider Name | ROBIN ANNETTE DOCKINS NP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2020
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 11404 BLUFF CREEK DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-3725
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Country | US
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Telephone | 405-215-7971
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 720602
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City | OKLAHOMA CITY
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State | OK
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Zip | 73172-0602
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Country | US
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Telephone | 405-215-7971
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ROO72265
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License Number State | OK
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