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General NPI Number Information
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NPI Number | 1184065237
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Entity Type | Organization
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Legal Business Name | ROBERTS&ASSOCIATES, INC
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 8175 LIMONITE AVE # A2&A3
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City | RIVERSIDE
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State | CA
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Zip | 92509-6120
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Country | US
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Telephone | 951-727-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 8175 LIMONITE AVENUE, A2&A3
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City | RIVERSIDE
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State | CA
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Zip | 92509
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Country | US
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Telephone | 951-727-4357
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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. JOAN ELIZABETH ROBERTS
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Credential | PH.D.
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Telephone | 951-727-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | BL00116352
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License Number State | CA
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