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NPI 1982355681

NPI 1982355681 : ANDREA ROBINSON CERTIFIED HAIR LOSS : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1982355681
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREA ROBINSON CERTIFIED HAIR LOSS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/13/2022
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    Last Update Date     |    01/13/2022
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Provider Practice Location Address
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    Address Line         |    8383 EL MUNDO ST APT 416 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77054-4668
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    Country              |    US
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    Telephone            |    817-919-7506
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    Fax                  |    832-553-8077
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Provider Business Mailing Address
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    Address Line         |    8383 EL MUNDO ST APT 416 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77054-4668
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    Country              |    US
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    Telephone            |    817-919-7506
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    Fax                  |    832-553-8077
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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        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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