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NPI Code Detail

MEDICARE: FAITH ROBERTS

MEDICARE:   FAITH  ROBERTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide10603DC

General Provider Information

NPI Number : 1568870194
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH ROBERTS
Provider Business Mailing Address
First Line : 4413 3RD ST SE APT A
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-3228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4413 3RD ST SE APT A
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-3228
Country : US
Telephone Number : 678-663-9857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 07/28/2014

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Directions to “ FAITH ROBERTS ” Practice Location

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