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General NPI Number Information
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NPI Number | 1174134035
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Entity Type | Organization
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Legal Business Name | THERAPY WITH ROBIN
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 2618 8TH ST STE 14
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2104
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Country | US
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Telephone | 205-454-8508
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Fax |
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Provider Business Mailing Address
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Address Line | 402 RIVERDALE DR
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City | TUSCALOOSA
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State | AL
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Zip | 35406-1815
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Country | US
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Telephone | 205-454-8508
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ROBIN MADDOX
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Credential | LMFT
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Telephone | 205-454-8508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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