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General NPI Number Information
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NPI Number | 1891855276
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Entity Type | Individual
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Provider Name | MARCIA RENEE ROBINSON FNP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 06/22/2018
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Provider Practice Location Address
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Address Line | 622 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-305-9564
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Fax | 212-342-3591
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Provider Business Mailing Address
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Address Line | 2015 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10453-4303
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Country | US
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Telephone | 718-299-7295
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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 | F3349821
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License Number State | NY
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