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General NPI Number Information
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NPI Number | 1972774552
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Entity Type | Individual
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Provider Name | ROBERT TIMOTHY O'BYRNE APMH-NP/CNS
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Gender | Male
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 4020 RAINTREE RD STE A
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City | CHESAPEAKE
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State | VA
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Zip | 23321-3749
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Country | US
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Telephone | 757-606-1377
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Fax |
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Provider Business Mailing Address
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Address Line | 4020 RAINTREE RD STE A
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City | CHESAPEAKE
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State | VA
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Zip | 23321-3749
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Country | US
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Telephone | 757-621-5765
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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 | 59180
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024166755
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License Number State | VA
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