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General NPI Number Information
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NPI Number | 1508657347
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Entity Type | Individual
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Provider Name | PAMELA SUSAN ROBINS CSAC
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Gender | Female
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1200 SAM PERRY BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4456
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Country | US
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Telephone | 540-741-7146
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Fax | 540-741-7146
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Provider Business Mailing Address
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Address Line | 9606 GUNSTON HALL RD
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-9490
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Country | US
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Telephone | 540-840-1104
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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 | 0710103407
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License Number State | VA
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