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General NPI Number Information
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NPI Number | 1669497335
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Entity Type | Individual
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Provider Name | ROBIN MCCLAIN PENROD M.A., L..P.C.C.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 1909 CUBA AVE STE 5
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5646
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Country | US
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Telephone | 505-603-0008
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 692
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City | HIGH ROLLS MOUNTAIN PARK
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State | NM
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Zip | 88325-0692
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Country | US
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Telephone | 56-030-0085
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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 | 0084021
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License Number State | NM
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