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General NPI Number Information
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NPI Number | 1417046962
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Entity Type | Individual
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Provider Name | VICKIE L ROBBINS PHD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 1012 IDA GRACE TRL
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City | NEW ALBANY
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State | MS
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Zip | 38652-1010
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Country | US
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Telephone | 662-659-9230
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Fax |
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Provider Business Mailing Address
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Address Line | 125 MAULDIN LN P.O BOX 1023
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City | PONTOTOC
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State | MS
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Zip | 38863-1544
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Country | US
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Telephone | 662-429-1824
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Fax | 662-489-4817
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 41676
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License Number State | MS
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