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General NPI Number Information
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NPI Number | 1730319138
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Entity Type | Organization
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Legal Business Name | ROBINHAM INC
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 07/20/2009
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Provider Practice Location Address
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Address Line | 803 E GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48207-2551
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Country | US
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Telephone | 313-571-9234
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Fax | 313-921-8907
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Provider Business Mailing Address
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Address Line | 49641 WATLING ST
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City | MACOMB
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State | MI
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Zip | 48044-1524
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. TONY ROBINSON
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Credential |
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Telephone | 313-475-1881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | AS820252832
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License Number State | MI
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