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General NPI Number Information
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NPI Number | 1891286548
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Entity Type | Organization
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Legal Business Name | ROBIN'S HOUSE
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 326 BIERCE AVE
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City | DAYTON
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State | OH
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Zip | 45403-2657
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Country | US
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Telephone | 937-207-9630
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Fax |
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Provider Business Mailing Address
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Address Line | 326 BIERCE AVE
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City | DAYTON
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State | OH
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Zip | 45403-2657
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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 | CEO
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Name | ROBIN ELAINE SALDIVAR
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Credential | PCC-SUPV
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Telephone | 937-207-9630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 06-7538
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License Number State | OH
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