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General NPI Number Information
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NPI Number | 1134899941
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Entity Type | Individual
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Provider Name | ROBIN L EDGELL LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 1014 N COUNTRY CLUB RD # 3129
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City | TUCSON
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State | AZ
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Zip | 85716-4239
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Country | US
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Telephone | 520-477-7867
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Fax |
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Provider Business Mailing Address
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Address Line | 3121 N SWAN RD APT 268
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City | TUCSON
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State | AZ
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Zip | 85712-1243
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Country | US
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Telephone | 609-784-4749
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-18648
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License Number State | AZ
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