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General NPI Number Information
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NPI Number | 1881245983
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Entity Type | Individual
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Provider Name | NEACOL ROBINSON PMHNP-BC, APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 2621 DRYDEN RD STE 100
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City | MORAINE
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State | OH
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Zip | 45439-1646
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Country | US
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Telephone | 937-281-0900
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Fax | 937-938-9751
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Provider Business Mailing Address
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Address Line | 1822 SOUTHERN PKWY
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City | SPRINGFIELD
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State | OH
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Zip | 45506-3115
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Country | US
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Telephone | 585-330-8330
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0030135
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 421348
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License Number State | OH
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