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General NPI Number Information
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NPI Number | 1962241604
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Entity Type | Individual
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Provider Name | ROBIN MARIE MYER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 745 E 8TH ST
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City | WINNER
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State | SD
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Zip | 57580-2677
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Country | US
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Telephone | 605-842-7100
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Fax | 605-842-3683
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Provider Business Mailing Address
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Address Line | 745 E 8TH ST
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City | WINNER
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State | SD
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Zip | 57580-2677
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Country | US
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Telephone | 605-842-7100
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R038997
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CP003210
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License Number State | SD
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