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General NPI Number Information
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NPI Number | 1821788761
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Entity Type | Individual
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Provider Name | AMY BRADFORD ROBINSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/12/2023
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 5119 FAIRMONT PKWY STE D
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City | PASADENA
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State | TX
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Zip | 77505-3758
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Country | US
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Telephone | 866-698-9442
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Fax |
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Provider Business Mailing Address
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Address Line | 2255 S KEMAH DR
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City | KEMAH
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State | TX
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Zip | 77565-8120
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Country | US
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Telephone | 281-935-1981
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F01230963
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License Number State | TX
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