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General NPI Number Information
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NPI Number | 1861914269
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Entity Type | Individual
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Provider Name | CHELSEA LAUREN ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 3520 W VIENNA RD
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City | CLIO
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State | MI
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Zip | 48420-2034
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Country | US
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Telephone | 810-584-0004
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Fax |
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Provider Business Mailing Address
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Address Line | 8285 S SAGINAW ST
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City | GRAND BLANC
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State | MI
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Zip | 48439-2468
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-19-34767
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 7401000789
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License Number State | MI
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