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General NPI Number Information
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NPI Number | 1033823869
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Entity Type | Individual
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Provider Name | CORINNE ROBERTS
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Gender | Female
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Dates
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Enumeration Date | 01/06/2023
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 1683 COMMUNITY WAY
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City | GREENFIELD
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State | IN
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Zip | 46140-9397
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Country | US
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Telephone | 463-290-8001
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Fax | 317-708-6496
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Provider Business Mailing Address
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Address Line | 6123 E 300 S
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City | GREENFIELD
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State | IN
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Zip | 46140-9741
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Country | US
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Telephone | 317-498-6768
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05005089A
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License Number State | IN
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