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General NPI Number Information
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NPI Number | 1851285480
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Entity Type | Individual
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Provider Name | ROBIN JEANNE HATLE CPHT-ADV, CSPT, CHW
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Gender | Female
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 101 OLD TOWN BLVD S STE 102
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City | LANTANA
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State | TX
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Zip | 76226-3969
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Country | US
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Telephone | 940-464-4500
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Fax | 940-464-4533
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Provider Business Mailing Address
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Address Line | 1661 COUNTY ROAD 220
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City | GAINESVILLE
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State | TX
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Zip | 76240-8467
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Country | US
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Telephone | 940-391-1245
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 21352
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License Number State | TX
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