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General NPI Number Information
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NPI Number | 1124986682
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Entity Type | Organization
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Legal Business Name | ROBERSON CONSULTANT, LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2611 CALHOUN ST
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City | GLENN HEIGHTS
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State | TX
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Zip | 75154-8964
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Country | US
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Telephone | 240-462-6947
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Fax | 218-664-9720
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Provider Business Mailing Address
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Address Line | 2611 CALHOUN ST
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City | GLENN HEIGHTS
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State | TX
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Zip | 75154-8964
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Country | US
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Telephone | 240-462-6947
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Fax | 218-664-9720
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Authorized Official
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Title or Position | CEO
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Name | CYNTHIA CONNERS ROBERSON
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Credential |
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Telephone | 240-462-6947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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