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General NPI Number Information
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NPI Number | 1982185096
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Entity Type | Individual
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Provider Name | ROBYN COONS LICSW, BCD
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Gender | Female
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 42 PATTON RD
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City | AYER
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State | MA
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Zip | 01434-3802
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Country | US
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Telephone | 978-796-1084
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Fax | 978-796-1079
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Provider Business Mailing Address
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Address Line | 60 SHRINE AVE
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City | WEST BOYLSTON
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State | MA
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Zip | 01583-1930
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Country | US
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Telephone | 508-887-6264
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Fax | 978-796-1079
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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 | 1025016
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License Number State | MA
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