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General NPI Number Information
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NPI Number | 1326003898
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Entity Type | Individual
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Provider Name | RODNEY ROBBINS MA LPC, CADC III
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 120 N EVEREST ST STE A
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City | NEWBERG
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State | OR
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Zip | 97132-2116
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Country | US
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Telephone | 503-538-7647
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Fax | 503-538-9015
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Provider Business Mailing Address
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Address Line | 120 N EVEREST ST STE A
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City | NEWBERG
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State | OR
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Zip | 97132-2116
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Country | US
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Telephone | 503-538-7647
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Fax | 503-538-9015
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 98-04-32
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C4473
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License Number State | OR
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