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General NPI Number Information
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NPI Number | 1578437505
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Entity Type | Individual
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Provider Name | TAYLOR ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 500 W CLOVER ST
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City | HUTSONVILLE
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State | IL
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Zip | 62433-1017
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Country | US
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Telephone | 618-563-4912
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Fax |
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Provider Business Mailing Address
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Address Line | 512 S OAKLAND RD
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City | ASHMORE
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State | IL
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Zip | 61912-9582
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Country | US
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Telephone | 618-563-4912
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 2543025
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License Number State | IL
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