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NPI 1700595394

NPI 1700595394 : ROBERT MADISON TURLINGTON LCSW : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1700595394
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT MADISON TURLINGTON LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/22/2022
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    Last Update Date     |    04/16/2025
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Provider Practice Location Address
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    Address Line         |    4500 SAN PABLO RD S 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32224-1865
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    Country              |    US
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    Telephone            |    813-745-6627
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    Fax                  |    813-745-3249
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Provider Business Mailing Address
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    Address Line         |    13990 BARTRAM PARK BLVD UNIT 2321 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32258-5575
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    Country              |    US
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    Telephone            |    850-294-4312
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    SW20654
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    License Number State |    FL
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