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NPI 1629601828

NPI 1629601828 : KRISTIN ROBINSON LLC : COTTONWOOD HEIGHTS, UT

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General NPI Number Information
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    NPI Number           |    1629601828
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    Entity Type          |    Organization 
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    Legal Business Name  |    KRISTIN ROBINSON LLC 
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Dates
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    Enumeration Date     |    02/16/2020
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    Last Update Date     |    02/16/2020
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Provider Practice Location Address
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    Address Line         |    7069 S HIGHLAND DR STE 100 
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    City                 |    COTTONWOOD HEIGHTS
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    State                |    UT
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    Zip                  |    84121-3731
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    Country              |    US
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    Telephone            |    801-382-9197
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    Fax                  |    801-665-1311
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Provider Business Mailing Address
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    Address Line         |    7069 S HIGHLAND DR STE 100 
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    City                 |    COTTONWOOD HEIGHTS
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    State                |    UT
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    Zip                  |    84121-3731
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    Country              |    US
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    Telephone            |    801-382-9197
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    Fax                  |    801-665-1311
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. KRISTIN E ROBINSON 
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    Credential           |    PHD
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    Telephone            |    801-230-8785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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