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General NPI Number Information
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NPI Number | 1609310226
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Entity Type | Organization
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Legal Business Name | ROBIN R. MINICK
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Dates
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Enumeration Date | 12/16/2016
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Last Update Date | 12/16/2016
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Provider Practice Location Address
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Address Line | 66 WALNUT ST SUITE 4
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City | WAYNESVILLE
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State | NC
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Zip | 28786-3283
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Country | US
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Telephone | 828-246-9751
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Fax | 182-864-9716
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Provider Business Mailing Address
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Address Line | PO BOX 596
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City | WAYNESVILLE
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State | NC
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Zip | 28786-0596
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Country | US
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Telephone | 828-246-9751
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Fax | 182-864-9716
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | ROBIN R MINICK
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Credential | LPC, NCC, CCMC, GC-C
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Telephone | 828-246-9751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8937
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License Number State | NC
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