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General NPI Number Information
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NPI Number | 1245627017
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Entity Type | Individual
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Provider Name | GINGER ROBERTSON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2 ERIE MANOR LN APT 6
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City | HENRIETTA
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State | NY
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Zip | 14467-9137
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Country | US
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Telephone | 337-884-3550
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Fax |
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Provider Business Mailing Address
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Address Line | 2 ERIE MANOR LN APT 6
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City | HENRIETTA
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State | NY
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Zip | 14467-9137
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Country | US
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Telephone | 337-884-3550
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 203240
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN140150
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License Number State | LA
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