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General NPI Number Information
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NPI Number | 1033315106
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Entity Type | Individual
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Provider Name | APRIL LAVERNE ROBERTS DO
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 N MAIN STREET SUITE 200
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City | ELMIRA
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State | NY
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Zip | 14901
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Country | US
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Telephone | 607-735-9878
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Fax | 607-735-9877
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Provider Business Mailing Address
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Address Line | 147 WEST GRAY STREET APT 809
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City | ELMIRA
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State | NY
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Zip | 14901-3022
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Country | US
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Telephone | 607-733-2868
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1889841
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License Number State | NY
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