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NPI 1548726458

NPI 1548726458 : ROBIN MICHELLE NEWMAN : LAFAYETTE, CO

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General NPI Number Information
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    NPI Number           |    1548726458
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    Entity Type          |    Individual 
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    Provider Name        |    ROBIN MICHELLE NEWMAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/15/2019
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    Last Update Date     |    05/30/2019
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Provider Practice Location Address
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    Address Line         |    1455 DIXON AVE 
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    City                 |    LAFAYETTE
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    State                |    CO
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    Zip                  |    80026-8879
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    Country              |    US
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    Telephone            |    303-339-9219
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1351 SUMNER ST APT 3 
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    City                 |    LONGMONT
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    State                |    CO
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    Zip                  |    80501-3241
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    Country              |    US
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    Telephone            |    303-803-8208
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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       |    
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    License Number State |    
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