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General NPI Number Information
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NPI Number | 1760538243
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Entity Type | Individual
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Provider Name | MELISSA ANN ROBINSON LISW
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 1695 CARRERA DR
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City | FRISCO
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State | TX
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Zip | 75034-1648
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Country | US
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Telephone | 214-705-0874
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Fax |
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Provider Business Mailing Address
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Address Line | 7519 GOSHAWK AVE NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-3573
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Country | US
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Telephone | 505-890-6539
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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 | I-06281
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 51728
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License Number State | TX
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