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General NPI Number Information
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NPI Number | 1316455579
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Entity Type | Individual
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Provider Name | ROBERT DAVID SCHWAB LCPC
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Gender | Male
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 01/22/2018
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Provider Practice Location Address
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Address Line | 313 W VALENTINE ST
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City | GLENDIVE
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State | MT
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Zip | 59330-1639
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Country | US
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Telephone | 406-478-2612
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Fax |
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Provider Business Mailing Address
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Address Line | 410 E BORDEN ST
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City | GLENDIVE
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State | MT
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Zip | 59330-2602
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | BBH-LCPC-LIC-28307
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License Number State | MT
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