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General NPI Number Information
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NPI Number | 1508458464
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Entity Type | Individual
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Provider Name | ROBIN MCDAVID-RANSOM LPC, LCDC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 2113 HARWOOD RD STE 309 PMB 1012
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City | BEDFORD
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State | TX
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Zip | 76021-7602
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Country | US
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Telephone | 817-242-6456
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Fax |
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Provider Business Mailing Address
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Address Line | 2113 HARWOOD RD STE 309 PMB 1012
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City | BEDFORD
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State | TX
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Zip | 76021
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Country | US
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Telephone |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 77963
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License Number State | TX
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