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General NPI Number Information
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NPI Number | 1144999749
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Entity Type | Organization
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Legal Business Name | SEQUEIRA-ROBERTS LLC
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 6100 COLLEYVILLE BLVD STE 150
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City | COLLEYVILLE
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State | TX
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Zip | 76034-8025
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Country | US
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Telephone | 817-307-5848
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Fax |
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Provider Business Mailing Address
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Address Line | 15412 ADLONG DR
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City | ROANOKE
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State | TX
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Zip | 76262-3309
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Country | US
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Telephone | 817-307-5848
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREA S ROBERTS
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Credential | DC
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Telephone | 817-307-5848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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