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General NPI Number Information
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NPI Number | 1306557400
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Entity Type | Organization
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Legal Business Name | SHARON J. ROBINSON COUNSELING, LLC
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 454 S YONGE ST STE 7F
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City | ORMOND BEACH
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State | FL
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Zip | 32174-7501
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Country | US
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Telephone | 386-259-8118
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Fax |
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Provider Business Mailing Address
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Address Line | 2166 LA COSTA VILLAGE BLVD
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City | PORT ORANGE
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State | FL
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Zip | 32129-7871
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Country | US
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Telephone | 386-259-8118
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | SHARON J ROBINSON
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Credential | LCSW
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Telephone | 386-259-8118
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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 |
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License Number State |
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