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General NPI Number Information
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NPI Number | 1952453151
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Entity Type | Individual
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Provider Name | ROBERT WAYNE POE M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 915 STATE HIGHWAY 248 STE B
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City | BRANSON
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State | MO
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Zip | 65616-8004
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Country | US
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Telephone | 417-213-9654
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Fax | 417-215-8055
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Provider Business Mailing Address
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Address Line | 320 S COMMERCIAL ST UNIT 2090
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City | BRANSON
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State | MO
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Zip | 65616-9998
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Country | US
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Telephone | 417-213-9654
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Fax | 417-215-8055
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 2023032112
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License Number State | MO
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