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NPI 1508854522

NPI 1508854522 : ROBIN LEE BILLINGS PH.D. : TROY, MI

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General NPI Number Information
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    NPI Number           |    1508854522
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    Entity Type          |    Individual 
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    Provider Name        |    ROBIN LEE BILLINGS PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/13/2005
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    Last Update Date     |    11/30/2016
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Provider Practice Location Address
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    Address Line         |    2150 BUTTERFIELD DR STE 110 
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    City                 |    TROY
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    State                |    MI
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    Zip                  |    48084-3427
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    Country              |    US
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    Telephone            |    248-935-4085
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    Fax                  |    248-480-0341
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Provider Business Mailing Address
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    Address Line         |    3487 BALD MOUNTAIN RD 
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    City                 |    LAKE ORION
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    State                |    MI
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    Zip                  |    48360-2401
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    Country              |    US
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    Telephone            |    248-371-0022
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    Fax                  |    248-480-0341
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    6301008634
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    License Number State |    MI
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