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General NPI Number Information
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NPI Number | 1407818206
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Entity Type | Individual
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Provider Name | LUIS R. ROBLES M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 5960 W PARKER RD SUITE 278#191
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City | PLANO
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State | TX
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Zip | 75093-7767
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Country | US
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Telephone | 214-725-0688
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Fax | 972-250-0450
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Provider Business Mailing Address
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Address Line | 5960 W PARKER RD STE 278 191
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City | PLANO
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State | TX
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Zip | 75093-7767
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Country | US
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Telephone | 214-725-0688
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Fax | 469-366-9377
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G7144
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License Number State | TX
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