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General NPI Number Information
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NPI Number | 1972290435
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Entity Type | Individual
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Provider Name | ROBIN RENEE PHILLIPS LPCA
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Gender | Female
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 1411 NORTH RACE STR
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City | GLASGOW
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State | KY
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Zip | 42141-3474
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Country | US
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Telephone | 270-380-1944
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Fax |
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Provider Business Mailing Address
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Address Line | 103 E SOUTH ST
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City | MUNFORDVILLE
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State | KY
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Zip | 42765-9023
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Country | US
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Telephone | 606-875-9733
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 263916
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License Number State | KY
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