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General NPI Number Information
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NPI Number | 1831566777
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Entity Type | Individual
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Provider Name | SUMMER LEIGH ROBIN APRN,FNP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 5668 BARKSDALE BLVD
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City | BOSSIER CITY
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State | LA
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Zip | 71112-8738
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Country | US
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Telephone | 318-735-1800
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Fax | 318-725-4960
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Provider Business Mailing Address
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Address Line | PO BOX 792
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City | VIVIAN
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State | LA
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Zip | 71082-0792
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Country | US
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Telephone | 318-735-1800
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Fax | 318-725-4960
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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 | AP08302
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License Number State | LA
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