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General NPI Number Information
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NPI Number | 1386745529
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Entity Type | Individual
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Provider Name | ANTHONY JAMES ROBERSON PHD, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 750 PETER BRYCE BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35401-7456
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Country | US
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Telephone | 205-348-6262
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Fax | 205-348-4121
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Provider Business Mailing Address
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Address Line | 750 PETER BRYCE BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35401-7456
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Country | US
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Telephone | 205-348-6262
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Fax | 205-348-4121
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 186811
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9365822
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 950018
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1113909
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License Number State | AL
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