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General NPI Number Information
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NPI Number | 1003452319
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Entity Type | Individual
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Provider Name | DANNY ROBINSON
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Gender | Male
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 2609 COMMONS BOULEVARD
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City | AUGUSTA
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State | GA
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Zip | 30909
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Country | US
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Telephone | 706-843-6242
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Fax |
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Provider Business Mailing Address
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Address Line | 2929 ARROWWOOD CIR
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City | HEPHZIBAH
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State | GA
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Zip | 30815-7075
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Country | US
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Telephone | 706-836-4492
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 008972
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License Number State | GA
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