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General NPI Number Information
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NPI Number | 1326068784
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Entity Type | Individual
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Provider Name | ROBIN ANNE ENGELS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 12/23/2011
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Provider Practice Location Address
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Address Line | 104 BENNETT AVE SUITE 2D
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City | MILFORD
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State | PA
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Zip | 18337-9759
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Country | US
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Telephone | 570-296-5184
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Fax | 570-409-3127
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Provider Business Mailing Address
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Address Line | 198 LAUREL DR
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City | SHOHOLA
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State | PA
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Zip | 18458-3906
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Country | US
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Telephone | 570-559-7210
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 071595-1
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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 | CW017094
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License Number State | PA
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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 | 44SC05439400
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License Number State | NJ
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