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General NPI Number Information
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NPI Number | 1609002666
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Entity Type | Organization
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Legal Business Name | JEFF ROBINSON, LCSW LLC
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 138 W 25TH ST SUITE 622
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City | NEW YORK
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State | NY
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Zip | 10001-7405
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Country | US
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Telephone | 646-413-9416
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Fax | 908-462-8292
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Provider Business Mailing Address
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Address Line | 816 CHARLOTTE RD
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City | PLAINFIELD
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State | NJ
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Zip | 07060-1949
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Country | US
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Telephone | 646-413-9416
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Fax | 908-462-8292
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFREY ALAN ROBINSON
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Credential | LCSW
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Telephone | 646-413-9416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 63137-1
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License Number State | NY
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