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NPI 1285947580

NPI 1285947580 : DEBORAH ROBBINS : CROWN POINT, IN

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General NPI Number Information
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    NPI Number           |    1285947580
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH ROBBINS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/15/2010
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    Last Update Date     |    07/15/2010
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Provider Practice Location Address
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    Address Line         |    726 W ELIZABETH DR 
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    City                 |    CROWN POINT
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    State                |    IN
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    Zip                  |    46307-4811
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    Country              |    US
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    Telephone            |    219-663-3194
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    726 W ELIZABETH DR 
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    City                 |    CROWN POINT
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    State                |    IN
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    Zip                  |    46307-4811
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    Country              |    US
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    Telephone            |    219-663-3194
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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       |    22005008A
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    License Number State |    IN
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