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General NPI Number Information
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NPI Number | 1205693371
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Entity Type | Individual
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Provider Name | BRIANNA MARIE ROBERTS
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Gender | Female
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 501 W BROADWAY STE 800
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City | SAN DIEGO
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State | CA
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Zip | 92101-3546
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Country | US
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Telephone | 877-418-2978
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Fax | 866-500-2186
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Provider Business Mailing Address
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Address Line | 350 FAIRWAY DR STE 800
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1834
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Country | US
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Telephone | 877-418-2978
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Fax | 866-500-2186
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 17330
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number |
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Taxonomy #4
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number |
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Taxonomy #5
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Taxonomy Code | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number |
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Taxonomy #6
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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Taxonomy #7
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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Taxonomy #8
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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Taxonomy #9
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Taxonomy Code | 226000000X
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Taxonomy Name | Recreational Therapist Assistant
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License Number |
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Taxonomy #10
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Taxonomy Code | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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