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General NPI Number Information
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NPI Number | 1518032507
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Entity Type | Individual
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Provider Name | ROBYN ANDREA WEISSMAN LCPC
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Gender | Female
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 1761 AUGUSTA RD
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City | BELGRADE
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State | ME
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Zip | 04917-3740
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Country | US
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Telephone | 207-778-2188
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12
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City | BELGRADE
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State | ME
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Zip | 04917-0012
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Country | US
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Telephone | 207-778-2188
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CC3321
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License Number State | ME
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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 | XL2728
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License Number State | ME
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