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General NPI Number Information
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NPI Number | 1982153946
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Entity Type | Individual
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Provider Name | ROBIN HATHAWAY RN
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Gender | Female
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Dates
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Enumeration Date | 09/30/2016
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 901 NE INDEPENDENCE AVE
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5544
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Country | US
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Telephone | 816-581-5852
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Fax | 816-347-3046
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Provider Business Mailing Address
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Address Line | 1401 SW 8TH TER
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City | LEES SUMMIT
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State | MO
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Zip | 64081-2516
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Country | US
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Telephone | 913-231-7105
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Fax | 816-347-3046
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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 | 054062
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 163W0000X
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License Number State | MO
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