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General NPI Number Information
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NPI Number | 1962824664
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Entity Type | Individual
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Provider Name | LAUREN A ROBBINS
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Gender | Female
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 2025 4TH ST STE 100
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City | WHITE BEAR LAKE
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State | MN
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Zip | 55110-2875
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Country | US
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Telephone | 651-212-4920
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Fax |
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Provider Business Mailing Address
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Address Line | 10680 ABLE ST NE
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City | BLAINE
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State | MN
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Zip | 55434-4528
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 303202
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1287
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License Number State | MN
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