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General NPI Number Information
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NPI Number | 1003620865
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Entity Type | Individual
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Provider Name | ROBIN LYNN STEPHENS LMT
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 130 N LA GRANGE RD STE 107
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City | LA GRANGE
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State | IL
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Zip | 60525-2005
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Country | US
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Telephone | 630-331-4431
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Fax |
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Provider Business Mailing Address
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Address Line | 297 E MAY ST
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City | ELMHURST
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State | IL
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Zip | 60126-4002
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Country | US
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Telephone | 312-730-7879
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227008042
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License Number State | IL
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