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General NPI Number Information
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NPI Number | 1497775811
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Entity Type | Individual
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Provider Name | MARY S ROBERTSON MD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 1088 N STATE RD 229
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City | BATESVILLE
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State | IN
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Zip | 47006
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Country | US
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Telephone | 812-933-1858
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Fax | 812-933-1968
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Provider Business Mailing Address
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Address Line | PO BOX 236
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City | BATESVILLE
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State | IN
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Zip | 47006-0236
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Country | US
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Telephone | 812-933-5441
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Fax | 812-933-5446
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01052054
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License Number State | IN
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