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General NPI Number Information
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NPI Number | 1972699080
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Entity Type | Individual
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Provider Name | MICHAEL ROBIN MSW, LICSW, MPH
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 10/05/2016
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Provider Practice Location Address
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Address Line | 3100 W LAKE ST SUITE 210
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City | MINNEAPOLIS
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State | MN
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Zip | 55416-4527
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Country | US
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Telephone | 612-925-6033
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Fax | 612-925-8496
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Provider Business Mailing Address
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Address Line | 1 LUDLOW AVE
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City | SAINT PAUL
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State | MN
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Zip | 55108-1914
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8738
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License Number State | MN
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