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General NPI Number Information
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NPI Number | 1184082844
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Entity Type | Individual
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Provider Name | ANNA MACGREGOR ROBIN LICSW
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Gender | Female
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 12/02/2018
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Provider Practice Location Address
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Address Line | 1 RICHMOND SQ STE 333W
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City | PROVIDENCE
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State | RI
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Zip | 02906-5156
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Country | US
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Telephone | 401-241-1573
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Fax | 401-270-1127
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Provider Business Mailing Address
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Address Line | 240 HOPE ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-2212
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Country | US
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Telephone | 401-241-1573
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Fax | 401-270-1127
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW02817
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License Number State | RI
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