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Individual
ROBERT POWELL
Active
Individual
ROBERT POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166051
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010125685
VA PREMIER SOUTH HILL
VA
05
—
010125685
—
VA
01
—
010252393
VA PREMIER KENB
VA
05
—
010252393
—
VA
05
—
010252423
—
VA
01
—
21524
CARENET SH
VA
01
—
21989
CARENET KB
VA
01
—
224189800
DOL
—
01
—
60109
CARENET CC
VA
01
—
P00215680
SH RR MEDICARE
VA
Enumeration date
07/12/2005
Last updated
03/25/2013
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