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General NPI Number Information
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NPI Number | 1790081834
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Entity Type | Individual
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Provider Name | ROBIN T. SPICER M.S., L.P.A.
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Gender | Female
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 8076 HIGHWAY 105 SOUTH
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City | BOONE
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State | NC
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Zip | 28607
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Country | US
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Telephone | 828-963-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 3132 STONEY BROOK DR
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City | LENOIR
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State | NC
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Zip | 28645-9739
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Country | US
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Telephone | 828-759-5096
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1109
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License Number State | NC
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