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General NPI Number Information
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NPI Number | 1437194974
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Entity Type | Individual
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Provider Name | DONNA KAY RABOIN LBSW
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Gender | Female
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 401 10TH AVE
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City | MENOMINEE
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State | MI
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Zip | 49858-3009
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Country | US
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Telephone | 906-863-7841
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Fax | 906-863-2833
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Provider Business Mailing Address
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Address Line | 715 PYLE DR
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City | KINGSFORD
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State | MI
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Zip | 49802-4456
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Country | US
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Telephone | 906-774-0522
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Fax | 906-774-1570
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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 | 6802063062
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License Number State | MI
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