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General NPI Number Information
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NPI Number | 1063867422
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Entity Type | Individual
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Provider Name | ILEANNETTE ROBLEDO MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | FIRST AVENUE 16 STREET MOUNT SINAI BETH ISRAEL
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-420-3363
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 SAINT CHARLES AVE FL 3
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City | NEW ORLEANS
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State | LA
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Zip | 70115-4637
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Country | US
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Telephone | 787-397-3726
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 320256
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License Number State | LA
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