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General NPI Number Information
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NPI Number | 1548028863
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Entity Type | Individual
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Provider Name | KATRINA ROBINSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 47 FISHERMAN LN
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City | GREENVILLE
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State | SC
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Zip | 29615-5013
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Country | US
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Telephone | 888-860-9981
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Fax |
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Provider Business Mailing Address
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Address Line | 18 WOODSIDE AVE
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City | GREENVILLE
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State | SC
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Zip | 29611-4352
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Country | US
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Telephone | 843-830-1051
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 16472
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License Number State | SC
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