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General NPI Number Information
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NPI Number | 1083676977
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Entity Type | Individual
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Provider Name | F CAL ROBINSON PSYD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 2844 E LAKE SHORE DR
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City | SPRINGFIELD
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State | IL
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Zip | 62712-5531
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Country | US
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Telephone | 757-349-3525
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Fax |
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Provider Business Mailing Address
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Address Line | 2844 E LAKE SHORE DR
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City | SPRINGFIELD
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State | IL
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Zip | 62712-5531
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Country | US
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Telephone | 757-349-3525
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1075
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.004718
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071004718
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2606
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License Number State | WI
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