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General NPI Number Information
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NPI Number | 1790403475
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Entity Type | Individual
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Provider Name | MR. LAWRENCE LEE ROBINSON JR.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2022
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 14602 PRESIDIO SQUARE BLVD
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City | HOUSTON
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State | TX
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Zip | 77083-1654
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Country | US
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Telephone | 832-351-2790
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Fax |
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Provider Business Mailing Address
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Address Line | 1803 CHICKADEE DR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-5111
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Country | US
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Telephone | 713-478-4945
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10113
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License Number State | TX
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