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General NPI Number Information
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NPI Number | 1487318259
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Entity Type | Individual
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Provider Name | ANDREA ROBERTS CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 8358 SIX FORKS RD STE 204
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City | RALEIGH
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State | NC
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Zip | 27615-5093
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Country | US
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Telephone | 919-720-4000
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Fax |
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Provider Business Mailing Address
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Address Line | MARGIOTTI & KROLL PEDIATRICS 4829 STREET RD.
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City | TREVOSE
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State | PA
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Zip | 19053
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Country | US
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Telephone |
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Fax |
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 5015222
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License Number State | NC
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