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General NPI Number Information
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NPI Number | 1871613000
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Entity Type | Organization
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Legal Business Name | ROBIN HARRELL
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 113 S COURT ST STE 207
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1611
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Country | US
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Telephone | 740-474-7974
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Fax | 740-477-9199
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Provider Business Mailing Address
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Address Line | 113 S COURT ST SUITE 207
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1611
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Country | US
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Telephone | 740-474-7974
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Fax | 740-477-9199
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MRS. ROBIN L HARRELL
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Credential | LPN
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Telephone | 740-474-7974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | OH
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