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General NPI Number Information
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NPI Number | 1831169861
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Entity Type | Individual
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Provider Name | ROBERT RAYMOND GERL D. MIN., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 2019 RAMBLING RD
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City | KALAMAZOO
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State | MI
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Zip | 49008-1630
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Country | US
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Telephone | 269-345-0909
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Fax | 269-345-4985
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Provider Business Mailing Address
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Address Line | 1538 EVANSTON AVE
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City | KALAMAZOO
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State | MI
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Zip | 49008-1724
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Country | US
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Telephone | 269-383-2151
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 6401000662
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6301013084
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 6301013084
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 6301013084
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301013084
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 6301013084
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 6301013084
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 6301013084
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License Number State | MI
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Taxonomy #9
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 725698
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License Number State | IN
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Taxonomy #10
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 102165
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License Number State | MI
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Taxonomy #11
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801058142
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License Number State | MI
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Taxonomy #12
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101005461
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License Number State | MI
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Taxonomy #13
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301013084
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License Number State | MI
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