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General NPI Number Information
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NPI Number | 1336399872
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Entity Type | Individual
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Provider Name | PAMELA BUCKLEY ROBERSON APRN, CNSPMH
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Gender | Female
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Dates
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Enumeration Date | 09/21/2008
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1640 POWERS FERRY RD SE
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City | MARIETTA
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State | GA
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Zip | 30067-5491
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Country | US
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Telephone | 770-426-9929
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Fax | 770-426-8293
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Provider Business Mailing Address
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Address Line | 155 MORALLION HLS
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-2769
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Country | US
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Telephone | 678-467-6557
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN073844 CNS/PMH
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License Number State | GA
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