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General NPI Number Information
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NPI Number | 1245840743
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Entity Type | Individual
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Provider Name | BETHANY MARIE ROBINSON M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2020
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 2939 S HAVERHILL RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-8118
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Country | US
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Telephone | 843-566-4651
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Fax |
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Provider Business Mailing Address
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Address Line | 301 E RICHARDSON AVE
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City | SUMMERVILLE
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State | SC
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Zip | 29483-6336
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Country | US
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Telephone | 843-566-4651
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA22246
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License Number State | FL
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