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General NPI Number Information
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NPI Number | 1932723970
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Entity Type | Individual
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Provider Name | GEOFFREY ROBINSON
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Gender | Male
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Dates
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Enumeration Date | 06/05/2020
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 752 UPPER GLEN ST # 1007
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City | QUEENSBURY
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State | NY
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Zip | 12804-2019
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Country | US
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Telephone | 347-353-0051
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Fax | 347-353-9239
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Provider Business Mailing Address
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Address Line | 646 19TH ST BSMT
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City | BROOKLYN
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State | NY
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Zip | 11218-1048
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Country | US
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Telephone | 347-693-8954
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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 | 402957
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License Number State | NY
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