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NPI 1801097845

NPI 1801097845 : TAQUIA SHENAE ROBINSON : ANNISTON, AL

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General NPI Number Information
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    NPI Number           |    1801097845
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    Entity Type          |    Individual 
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    Provider Name        |    TAQUIA SHENAE ROBINSON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/29/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1200 NOBLE ST 120
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    City                 |    ANNISTON
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    State                |    AL
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    Zip                  |    36201-4659
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    Country              |    US
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    Telephone            |    256-741-6184
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6015 WEAVER RD APT C1 
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    City                 |    ANNISTON
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    State                |    AL
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    Zip                  |    36206-8304
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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    |    
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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       |    
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    License Number State |    
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