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General NPI Number Information
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NPI Number | 1467697409
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Entity Type | Individual
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Provider Name | SUSAN T ROBINSON L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 101 GRACELAND DRIVE
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City | SAN RAFAEL
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State | CA
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Zip | 94901
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Country | US
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Telephone | 415-457-1696
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Fax | 415-457-1696
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Provider Business Mailing Address
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Address Line | 15 CRESTHILL DR #A
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City | NYACK
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State | NY
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Zip | 10960-2725
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Country | US
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Telephone | 415-846-9330
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCS16418
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License Number State | CA
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