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General NPI Number Information
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NPI Number | 1205314705
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Entity Type | Individual
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Provider Name | ROBYN ANN BOLES LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 3740 FARM ROAD 1735
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-0928
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Country | US
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Telephone | 903-374-8040
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Fax | 903-205-1779
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Provider Business Mailing Address
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Address Line | 3740 FARM ROAD 1735
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-0928
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Country | US
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Telephone | 903-374-8040
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Fax | 903-213-9175
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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 | 61641
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License Number State | TX
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