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General NPI Number Information
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NPI Number | 1548827603
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Entity Type | Individual
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Provider Name | DORIS MARILYN ROBINSON CSW
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Gender | Female
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 1050 E 3300 S STE 201
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City | MILLCREEK
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State | UT
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Zip | 84106-3995
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Country | US
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Telephone | 801-692-3531
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Fax |
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Provider Business Mailing Address
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Address Line | 520 N MARION ST
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City | SALT LAKE CITY
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State | UT
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Zip | 84116-2645
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Country | US
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Telephone | 801-839-4007
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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 | 14017186-3502
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License Number State | UT
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