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General NPI Number Information
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NPI Number | 1427120906
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Entity Type | Organization
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Legal Business Name | ROBERTS & ROBERTS
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 3455 VESTAL PKWY E
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City | VESTAL
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State | NY
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Zip | 13850-2147
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Country | US
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Telephone | 607-722-2020
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Fax | 607-722-3937
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Provider Business Mailing Address
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Address Line | 3455 VESTAL PKWY E
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City | VESTAL
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State | NY
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Zip | 13850-2147
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Country | US
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Telephone | 607-722-2020
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Fax | 607-722-3937
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Authorized Official
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Title or Position | OWNER OPTOMETRIST
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Name | DR. GEORGE TEMPLETON ROBERTS
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Credential | OD
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Telephone | 607-722-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV003200
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License Number State | NY
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