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General NPI Number Information
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NPI Number | 1629155437
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Entity Type | Individual
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Provider Name | LAURA-ANN ROBB LCSW, CASAC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 231 W 96TH ST APT 2B
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City | NEW YORK
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State | NY
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Zip | 10025-6311
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Country | US
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Telephone | 646-753-2879
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Fax |
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Provider Business Mailing Address
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Address Line | 310 W 99TH ST APT 505
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City | NEW YORK
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State | NY
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Zip | 10025-5434
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Country | US
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Telephone | 212-316-1912
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 18998
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 067126
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License Number State | NY
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