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General NPI Number Information
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NPI Number | 1356261077
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Entity Type | Individual
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Provider Name | ROBIN KENNEDY
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 2860 S CIRCLE DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4139
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Country | US
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Telephone | 719-249-5578
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Fax |
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Provider Business Mailing Address
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Address Line | 10252 DEER MEADOW CIR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80925-1329
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC.0022624
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License Number State | CO
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