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General NPI Number Information
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NPI Number | 1275428963
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Entity Type | Individual
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Provider Name | MADISON COURTNEY ROBERTS CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 230 E SYCAMORE ST STE 100
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City | SHERMAN
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State | TX
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Zip | 75090-5017
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Country | US
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Telephone | 903-202-2900
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Fax | 903-202-2901
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Provider Business Mailing Address
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Address Line | 930 RIDGEVIEW DR APT 1443
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City | ALLEN
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State | TX
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Zip | 75013-0084
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Country | US
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Telephone | 678-338-3981
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1190015
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License Number State | TX
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