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General NPI Number Information
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NPI Number | 1205434230
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Entity Type | Individual
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Provider Name | KATHLEEN E ROBBINS RN, LISW-S
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Gender | Female
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 9250 ONE DEERFIELD PL UNIT K411
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City | MASON
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State | OH
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Zip | 45040-3531
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Country | US
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Telephone | 513-465-7612
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Fax |
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Provider Business Mailing Address
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Address Line | 9250 ONE DEERFIELD PL UNIT K411
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City | MASON
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State | OH
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Zip | 45040-3531
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Country | US
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Telephone | 513-465-7612
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN.462358
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1000102-SUPV
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License Number State | OH
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