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General NPI Number Information
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NPI Number | 1447336441
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Entity Type | Individual
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Provider Name | ROBIN LYNN WILEY LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3012 CIELO CT STE C
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City | SANTA FE
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State | NM
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Zip | 87507-5088
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Country | US
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Telephone | 505-920-6554
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Fax | 505-473-1297
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Provider Business Mailing Address
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Address Line | PO BOX 22267
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City | SANTA FE
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State | NM
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Zip | 87502
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Country | US
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Telephone | 505-920-6554
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Fax | 505-473-1297
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0070961
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License Number State | NM
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