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General NPI Number Information
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NPI Number | 1417624123
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Entity Type | Individual
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Provider Name | BELITA SOFIA ROBERTS RN, FNP
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Gender | Female
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1269 E ANAHEIM ST
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City | LONG BEACH
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State | CA
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Zip | 90813-3709
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Country | US
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Telephone | 562-841-3938
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Fax |
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Provider Business Mailing Address
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Address Line | 1269 E ANAHEIM ST
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City | LONG BEACH
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State | CA
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Zip | 90813-3709
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Country | US
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Telephone | 949-212-8339
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Fax | 562-599-5388
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95018140
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License Number State | CA
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