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General NPI Number Information
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NPI Number | 1821118605
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Entity Type | Individual
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Provider Name | ROBIN SEELEY PH.D
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 815 E JACKSON ST
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City | MEDFORD
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State | OR
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Zip | 97504-6713
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Country | US
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Telephone | 541-601-2968
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Fax | 541-488-5011
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Provider Business Mailing Address
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Address Line | PO BOX 862
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City | ASHLAND
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State | OR
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Zip | 97520-0029
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Country | US
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Telephone | 541-601-2968
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Fax | 541-488-5011
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1573
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1573
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License Number State | OR
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