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General NPI Number Information
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NPI Number | 1104961788
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Entity Type | Individual
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Provider Name | BRETT D. ROBERTS MD
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 310 STOCK ST STE 3
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City | HANOVER
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State | PA
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Zip | 17331-2276
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Country | US
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Telephone | 717-637-1738
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Fax | 717-646-7430
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Provider Business Mailing Address
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Address Line | 310 STOCK ST STE 3
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City | HANOVER
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State | PA
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Zip | 17331-2276
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Country | US
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Telephone | 717-637-1738
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Fax | 717-646-7430
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | MD448434
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | D0073880
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD448434
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License Number State | PA
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