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General NPI Number Information
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NPI Number | 1891039624
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Entity Type | Individual
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Provider Name | ROBIN JOY MICHELLE BURCH QMHP, CADC-R
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Gender | Female
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 01/06/2024
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Provider Practice Location Address
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Address Line | 627 NE EVANS ST
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City | MCMINNVILLE
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State | OR
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Zip | 97128-3923
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Country | US
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Telephone | 34-347-5235
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Fax |
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Provider Business Mailing Address
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Address Line | 627 NE EVANS ST
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City | MCMINNVILLE
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State | OR
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Zip | 97128-3923
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Country | US
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Telephone | 503-434-7523
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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