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General NPI Number Information
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NPI Number | 1952578130
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Entity Type | Individual
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Provider Name | ROBIN ZYWICIEL LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 275 BECK AVE
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City | FAIRFIELD
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State | CA
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Zip | 94533
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Country | US
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Telephone | 77-848-3867
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Fax | 707-427-2981
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Provider Business Mailing Address
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Address Line | 2101 COURAGE DR # MS 10-300
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City | FAIRFIELD
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State | CA
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Zip | 94533-6717
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Country | US
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Telephone | 707-784-8386
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Fax | 707-427-2981
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 63575
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License Number State | CA
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