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General NPI Number Information
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NPI Number | 1639084130
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Entity Type | Individual
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Provider Name | NICOLE D ROBECK MSW,MA,LAC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 217 KANSAS CITY ST
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City | RAPID CITY
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State | SD
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Zip | 57701-3079
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Country | US
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Telephone | 605-472-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 5856 DERRINGER RD
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City | RAPID CITY
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State | SD
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Zip | 57703-9054
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Country | US
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Telephone | 605-484-7751
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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 | 24102019
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License Number State | SD
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