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General NPI Number Information
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NPI Number | 1902028723
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Entity Type | Individual
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Provider Name | ROBIN REYNOLDS RD, LD, CDCES, CLT
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 9300 WHITE OAK CROSSING
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City | N LITTLE ROCK
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State | AR
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Zip | 72113
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Country | US
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Telephone | 501-777-8120
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Fax | 501-229-6070
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Provider Business Mailing Address
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Address Line | 13311 HELENWOOD DR
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City | N LITTLE ROCK
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State | AR
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Zip | 72118-1777
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Country | US
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Telephone | 501-246-1632
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Fax | 844-364-2614
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 751
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License Number State | AR
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