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General NPI Number Information
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NPI Number | 1760054498
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Entity Type | Individual
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Provider Name | VANESSA MARIE ROBINSON LPCC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 7525 VILLAGE DR STE 160
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City | LINO LAKES
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State | MN
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Zip | 55014-1305
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Country | US
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Telephone | 612-386-5091
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Fax | 651-964-4748
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Provider Business Mailing Address
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Address Line | 2002 DUPONT AVE S APT 5
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City | MINNEAPOLIS
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State | MN
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Zip | 55405-2773
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Country | US
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Telephone | 612-386-5091
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CC02888
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License Number State | MN
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