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General NPI Number Information
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NPI Number | 1891324083
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Entity Type | Individual
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Provider Name | ROBERT STINES FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 116 S MICHIGAN AVE FL 13
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City | CHICAGO
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State | IL
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Zip | 60603-6003
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Country | US
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Telephone | 312-499-4288
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Fax |
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Provider Business Mailing Address
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Address Line | 116 S MICHIGAN AVE FL 13
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City | CHICAGO
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State | IL
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Zip | 60603-6003
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Country | US
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Telephone | 312-499-4288
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277003881
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 233324
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041.383820
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License Number State | IL
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