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General NPI Number Information
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NPI Number | 1376899427
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Entity Type | Organization
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Legal Business Name | ROBERT PINE, PLLC DBA HILLS AND VALLEYS COUNSELING
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 4601 OLD SHEPARD PL SUITE 101
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City | PLANO
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State | TX
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Zip | 75093-5279
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Country | US
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Telephone | 469-964-5687
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Fax |
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Provider Business Mailing Address
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Address Line | 6804 LOCKSLEY CIR
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City | PLANO
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State | TX
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Zip | 75023-1063
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Country | US
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Telephone | 469-964-5687
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Fax |
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | MR. ROBERT ANTHONY PINE
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Credential | M.S., L.P.C.
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Telephone | 469-964-5687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 64634
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License Number State | TX
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