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General NPI Number Information
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NPI Number | 1134104268
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Entity Type | Individual
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Provider Name | PAMELA R ROBERTS MD
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Gender | Female
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 750 NE 13TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5010
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Country | US
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Telephone | 405-271-4351
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Fax | 405-271-1216
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Provider Business Mailing Address
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Address Line | PO BOX 53188
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City | OKLAHOMA CITY
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State | OK
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Zip | 73152-3188
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Country | US
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Telephone | 405-271-4351
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Fax | 405-271-1216
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 35479
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 24788
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License Number State | OK
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