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General NPI Number Information
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NPI Number | 1023800042
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Entity Type | Individual
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Provider Name | JOHN EDWARD ROBERTS DDS, MPH
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Gender | Male
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 11640 US HIGHWAY 87 N
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City | CARLSBAD
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State | TX
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Zip | 76934-7000
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Country | US
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Telephone | 210-262-8160
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Fax |
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Provider Business Mailing Address
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Address Line | 2313 LOCKHILL SELMA RD # 127
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City | SAN ANTONIO
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State | TX
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Zip | 78230-3003
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Country | US
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Telephone | 210-262-8160
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 16387
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License Number State | TX
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