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General NPI Number Information
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NPI Number | 1609323591
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Entity Type | Individual
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Provider Name | CARRIE ROBINSON-ELHASSEN MSED., LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 11/29/2018
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Provider Practice Location Address
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Address Line | 482 N MAIN ST
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1049
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Country | US
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Telephone | 585-500-8947
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Fax |
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Provider Business Mailing Address
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Address Line | 3380 MONROE AVE STE 218
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City | ROCHESTER
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State | NY
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Zip | 14618-4726
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Country | US
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Telephone | 585-397-7216
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 004230
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License Number State | NY
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