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General NPI Number Information
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NPI Number | 1508376120
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Entity Type | Individual
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Provider Name | ROBYN AMANDA SUMMERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 10023 DAYFLOWER WAY
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City | KNOXVILLE
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State | TN
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Zip | 37932-1697
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Country | US
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Telephone | 770-540-5955
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Fax |
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Provider Business Mailing Address
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Address Line | 10023 DAYFLOWER WAY
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City | KNOXVILLE
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State | TN
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Zip | 37932-1697
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Country | US
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Telephone | 770-540-5955
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW13974
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW006796
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSW0000007113
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License Number State | TN
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