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General NPI Number Information
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NPI Number | 1164892667
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Entity Type | Individual
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Provider Name | ANGELA K ROBINSON M.ED., LPC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2015
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 303 E COLLEGE ST
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City | FLORENCE
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State | AL
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Zip | 35630-5709
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Country | US
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Telephone | 256-812-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 1158 OAK FOREST RD
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City | PONTOTOC
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State | MS
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Zip | 38863-5410
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Country | US
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Telephone | 662-760-0896
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC05240
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LPC05240
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License Number State | AL
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