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General NPI Number Information
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NPI Number | 1114954062
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Entity Type | Individual
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Provider Name | ROBYN KITTRELL PHD HSPP
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/06/2015
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Provider Practice Location Address
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Address Line | 1904 WEST ROYALE DRIVE
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City | MUNCIE
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State | IN
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Zip | 47304-2264
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Country | US
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Telephone | 765-284-0443
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Fax | 765-284-4112
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Provider Business Mailing Address
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Address Line | 1904 WEST ROYALE DR
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City | MUNCIE
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State | IN
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Zip | 47304-2264
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Country | US
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Telephone | 765-284-0043
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Fax | 765-284-4112
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 20041894A
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License Number State | IN
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