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General NPI Number Information
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NPI Number | 1992293898
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Entity Type | Individual
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Provider Name | CHRISTINE SOMMER ROBINSON LPC, CRC
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Gender | Female
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 1810 8TH AVE STE B
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City | FORT WORTH
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State | TX
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Zip | 76110-1352
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Country | US
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Telephone | 682-207-6680
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Fax |
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Provider Business Mailing Address
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Address Line | 6054 COPPERFIELD DR APT 1007
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City | FORT WORTH
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State | TX
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Zip | 76132-2619
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Country | US
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Telephone | 832-628-0390
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 75755
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License Number State | TX
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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 | 75755
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 75755
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License Number State | TX
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