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General NPI Number Information
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NPI Number | 1538484910
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Entity Type | Individual
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Provider Name | CHARLES CLEMENT ROBINSON LMHC
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Gender | Male
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 01/28/2015
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Provider Practice Location Address
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Address Line | 2120 RANGE RD
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City | CLEARWATER
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State | FL
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Zip | 33765-2125
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Country | US
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Telephone | 727-638-1398
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Fax | 800-272-4311
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Provider Business Mailing Address
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Address Line | 1400 VERMONT AVE
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3871
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Country | US
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Telephone | 727-943-8352
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Fax | 800-272-4311
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH7581
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH7581
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH7581
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License Number State | FL
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