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General NPI Number Information
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NPI Number | 1295739621
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Entity Type | Individual
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Provider Name | MAUREEN ROBERTS
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Gender | Female
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 3050 ROUTE 50 STE 201
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2906
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Country | US
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Telephone | 518-584-4426
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Fax |
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Provider Business Mailing Address
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Address Line | 3050 ROUTE 50 STE 201
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2906
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Country | US
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Telephone | 518-584-4426
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 173803-1
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License Number State | NY
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