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General NPI Number Information
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NPI Number | 1417283037
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Entity Type | Organization
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Legal Business Name | FRANKLIN A ROBERTS MS, PA
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Dates
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Enumeration Date | 11/02/2009
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 228 BROOKS ST SE
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-2800
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Country | US
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Telephone | 850-301-0446
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Fax | 850-301-0442
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Provider Business Mailing Address
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Address Line | 228 BROOKS ST SE
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-2800
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Country | US
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Telephone | 850-301-0446
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Fax | 850-301-0442
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANKLIN ARNOLD ROBERTS
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Credential | LMFT, LMHC
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Telephone | 850-301-0446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT1756
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License Number State | FL
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