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General NPI Number Information
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NPI Number | 1063989606
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Entity Type | Organization
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Legal Business Name | M ROBERSON MD PC
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Dates
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Enumeration Date | 11/01/2018
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 1151 S NEVADA HIGHWAY 160
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City | PAHRUMP
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State | NV
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Zip | 89048
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Country | US
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Telephone | 775-727-8900
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Fax | 775-727-9452
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Provider Business Mailing Address
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Address Line | 1151 S NEVADA HIGHWAY 160
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City | PAHRUMP
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State | NV
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Zip | 89048-4700
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Country | US
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Telephone | 775-727-8900
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Fax | 775-727-9452
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATTHEW B ROBERSON
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Credential | MD
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Telephone | 775-727-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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