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General NPI Number Information
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NPI Number | 1063797801
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Entity Type | Individual
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Provider Name | ROBIN HURDLE MSW
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Gender | Female
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Dates
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Enumeration Date | 10/12/2011
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 1001 MONMOUTH ST
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City | NEWPORT
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State | KY
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Zip | 41071-2116
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Country | US
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Telephone | 859-431-4450
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Fax | 859-431-4456
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Provider Business Mailing Address
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Address Line | 503 FARRELL DR
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City | COVINGTON
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State | KY
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Zip | 41011-3775
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Country | US
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Telephone | 859-431-4450
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Fax | 859-431-4456
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5800
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License Number State | KY
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