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General NPI Number Information
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NPI Number | 1841420122
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Entity Type | Individual
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Provider Name | ROBIN JOY SMITH PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 9709 3RD AVE NE SUITE 309
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City | SEATTLE
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State | WA
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Zip | 98115
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Country | US
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Telephone | 206-729-7315
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Fax | 866-895-7142
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Provider Business Mailing Address
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Address Line | 21906 NE 150TH ST
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City | WOODINVILLE
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State | WA
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Zip | 98077-7292
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Country | US
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Telephone | 860-992-9150
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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 | PA60521692
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 002276
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License Number State | CT
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