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General NPI Number Information
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NPI Number | 1548339641
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Entity Type | Organization
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Legal Business Name | DIANNE ROBINSON
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 1005 W JEFFERSON BLVD SUITE 203
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City | DALLAS
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State | TX
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Zip | 75208-5087
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Country | US
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Telephone | 214-942-5545
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Fax | 214-942-5540
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Provider Business Mailing Address
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Address Line | 1005 W JEFFERSON BLVD SUITE 203
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City | DALLAS
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State | TX
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Zip | 75208-5087
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Country | US
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Telephone | 214-942-5545
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Fax | 214-942-5540
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. DIANNE WARREN ROBINSON
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Credential | L.P.C.
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Telephone | 214-942-5545
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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 | 20007
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License Number State | TX
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