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General NPI Number Information
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NPI Number | 1548568462
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Entity Type | Individual
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Provider Name | ROBYN MCKAY PHD
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Gender | Female
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 6049 SOUTH BACKUS MALL, SUTTON HALL SUITE 240 ARIZONA STATE UNIVERSITY POLYTECHNIC CAMPUS
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City | MESA
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State | AZ
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Zip | 85212-0000
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Country | US
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Telephone | 480-727-1527
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Fax |
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Provider Business Mailing Address
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Address Line | 6049 S BACKUS MALL SUTTON HALL-SUITE 240 ARIZONA STATE UNIVERSITY POLYTECHNIC CAMPUS
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City | MESA
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State | AZ
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Zip | 85212
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Country | US
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Telephone | 480-727-1527
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 4137
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License Number State | AZ
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