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General NPI Number Information
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NPI Number | 1396194213
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Entity Type | Organization
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Legal Business Name | BARBARA T. ROBERTS, PHD, PLLC
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 06/10/2016
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Provider Practice Location Address
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Address Line | 4601 CONNECTICUT AVE NW SUITE 5
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City | WASHINGTON
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State | DC
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Zip | 20008-5700
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Country | US
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Telephone | 202-304-1326
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Fax | 202-291-2067
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Provider Business Mailing Address
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Address Line | 4601 CONNECTICUT AVE NW SUITE 5
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City | WASHINGTON
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State | DC
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Zip | 20008-5700
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Country | US
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Telephone | 202-304-1326
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Fax | 202-291-2067
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | DR. BARBARA TAYLOR ROBERTS
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Credential | PHD
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Telephone | 202-291-2137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PSY1548
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License Number State | DC
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