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General NPI Number Information
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NPI Number | 1922684182
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Entity Type | Individual
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Provider Name | TORIE ALEXANDREA ROBINSON CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 2301 S 56TH ST STE 110
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City | FORT SMITH
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State | AR
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Zip | 72903-3710
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Country | US
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Telephone | 479-452-1581
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Fax |
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Provider Business Mailing Address
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Address Line | 407 WARE RD
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City | GREENWOOD
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State | AR
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Zip | 72936-4906
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Country | US
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Telephone | 501-764-2202
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 2018008583
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 215978
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License Number State | AR
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