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General NPI Number Information
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NPI Number | 1326079419
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Entity Type | Individual
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Provider Name | JESUS ANTONIO ROBLES PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 10015 W ROYAL OAK RD
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City | SUN CITY
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State | AZ
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Zip | 85351-3164
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Country | US
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Telephone | 623-815-4210
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Fax |
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Provider Business Mailing Address
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Address Line | 8771 W STATE AVE
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City | GLENDALE
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State | AZ
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Zip | 85305-6946
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3320
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 3320
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License Number State | AZ
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