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General NPI Number Information
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NPI Number | 1497995567
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Entity Type | Individual
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Provider Name | MARCELLA ROBINSON LAC, LMT
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Gender | Female
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 2 LAGRANGE AVE SUITE 201
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-8911
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Country | US
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Telephone | 917-232-3949
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Fax |
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Provider Business Mailing Address
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Address Line | 68 GERALD DR APT F2
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-2923
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Country | US
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Telephone | 917-232-3949
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2503
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1418
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 52483
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 011658
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License Number State | NY
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