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General NPI Number Information
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NPI Number | 1619630712
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Entity Type | Organization
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Legal Business Name | ROBIN SANDERS COUNSELING INC
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Dates
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Enumeration Date | 10/16/2021
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Last Update Date | 10/16/2021
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Provider Practice Location Address
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Address Line | 3104 S 70TH ST
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City | FORT SMITH
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State | AR
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Zip | 72903-5018
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Country | US
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Telephone | 479-883-2081
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Fax |
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Provider Business Mailing Address
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Address Line | 3104 S 70TH ST
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City | FORT SMITH
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State | AR
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Zip | 72903-5018
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN SANDERS
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Credential | LPC
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Telephone | 479-883-2081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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