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General NPI Number Information
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NPI Number | 1437494374
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Entity Type | Individual
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Provider Name | LISA ROBERTS
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Gender | Female
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 930 ADELL REE PARK LN
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City | KNOXVILLE
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State | TN
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Zip | 37909-2543
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Country | US
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Telephone | 865-769-2600
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Fax | 865-769-2616
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Provider Business Mailing Address
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Address Line | 1700 PINEBROOK DR STE 4
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City | KINGSPORT
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State | TN
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Zip | 37660-4365
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Country | US
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Telephone | 423-251-6670
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Fax | 423-251-1899
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1758
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License Number State | TN
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