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General NPI Number Information
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NPI Number | 1184446049
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Entity Type | Individual
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Provider Name | ROBYN HENNING
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Gender | Female
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 2002 EASTWOOD RD STE 303
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City | WILMINGTON
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State | NC
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Zip | 28403-7203
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Country | US
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Telephone | 910-509-0588
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Fax |
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Provider Business Mailing Address
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Address Line | 841 FOX RIDGE LN
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City | WILMINGTON
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State | NC
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Zip | 28405-5259
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Country | US
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Telephone | 201-303-6965
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A17881
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License Number State | NC
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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 | A17881
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License Number State | NC
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