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General NPI Number Information
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NPI Number | 1285389957
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Entity Type | Individual
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Provider Name | ROBIN MARIE WEAVER MA, NCC, LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 621A S LAFAYETTE ST
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City | SHELBY
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State | NC
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Zip | 28150-5807
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Country | US
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Telephone | 704-692-0723
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Fax |
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Provider Business Mailing Address
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Address Line | 721 COLLEGE DR
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City | GAFFNEY
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State | SC
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Zip | 29340-3703
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Country | US
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Telephone | 864-491-9864
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A17339
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License Number State | NC
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