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General NPI Number Information
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NPI Number | 1205101045
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Entity Type | Individual
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Provider Name | ROBERT FRANKLIN PCC-S
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Gender | Male
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 352 S MONROE ST
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City | BLISSFIELD
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State | MI
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Zip | 49228-1268
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Country | US
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Telephone | 517-759-6285
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Fax | 517-486-2675
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Provider Business Mailing Address
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Address Line | 352 S MONROE ST
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City | BLISSFIELD
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State | MI
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Zip | 49228-1268
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Country | US
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Telephone | 517-215-2880
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Fax | 517-486-2675
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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 | E0003922-SUPV
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License Number State | OH
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