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General NPI Number Information
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NPI Number | 1366759839
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Entity Type | Individual
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Provider Name | MOLLY SPEIGHT ROBERTS PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2022 CARDINAL CIR
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City | ANDERSON
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State | SC
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Zip | 29621-1504
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Country | US
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Telephone | 864-224-7577
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Fax | 864-225-5165
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Provider Business Mailing Address
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Address Line | 10 ENTERPRISE BLVD STE 207
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City | GREENVILLE
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State | SC
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Zip | 29615-3554
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Country | US
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Telephone | 864-331-2505
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Fax | 864-331-2510
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0005751
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-02457
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3314
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License Number State | SC
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