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General NPI Number Information
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NPI Number | 1306903398
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Entity Type | Individual
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Provider Name | ROBIN MICHELE GERRY LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 1614 GOSHEN TURNPIKE
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City | MIDDLETOWN
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State | NY
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Zip | 10941
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Country | US
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Telephone | 914-406-5675
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Fax | 888-402-5207
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Provider Business Mailing Address
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Address Line | 1614 GOSHEN TPKE
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City | MIDDLETOWN
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State | NY
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Zip | 10941-1056
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Country | US
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Telephone | 914-405-5675
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Fax | 888-402-5207
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 39694
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License Number State | NY
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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 | 039694
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R039694-1
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License Number State | NY
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