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NPI 1790755775

NPI 1790755775 : ROBIN KENT : CORNING, NY

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General NPI Number Information
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    NPI Number           |    1790755775
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    Entity Type          |    Individual 
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    Provider Name        |    ROBIN KENT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/24/2006
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    Last Update Date     |    05/28/2021
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Provider Practice Location Address
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    Address Line         |    CORNING HOSPITAL 176 DENISON PARKWAY EAST
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    City                 |    CORNING
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    State                |    NY
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    Zip                  |    14830
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    Country              |    US
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    Telephone            |    607-937-7540
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2278 BAILEY CREEK RD SUITE 203
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    City                 |    MILLERTON
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    State                |    PA
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    Zip                  |    16936-9589
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    Country              |    US
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    Telephone            |    
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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       |    009974
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    License Number State |    NY
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