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General NPI Number Information
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NPI Number | 1063618262
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Entity Type | Individual
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Provider Name | EUGENE ROBINSON D.MIN.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 240 CANDLER RD SE
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City | ATLANTA
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State | GA
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Zip | 30317-3436
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Country | US
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Telephone | 404-371-8221
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Fax | 404-243-6386
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Provider Business Mailing Address
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Address Line | 3649 CHERRY HILL PL
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City | DECATUR
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State | GA
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Zip | 30034-5014
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Country | US
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Telephone | 404-371-8221
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Fax | 404-243-6386
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000208
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License Number State | GA
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