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General NPI Number Information
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NPI Number | 1245020486
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Entity Type | Individual
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Provider Name | AMY MERARY ROBLES PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 4212 MISSOURI FLAT RD
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City | PLACERVILLE
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State | CA
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Zip | 95667-6269
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Country | US
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Telephone | 530-621-7700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5002
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City | LINDSAY
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State | CA
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Zip | 93247-5002
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Country | US
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Telephone | 559-329-0393
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | CA
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