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General NPI Number Information
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NPI Number | 1548464084
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Entity Type | Individual
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Provider Name | SOLDREA L ROBERTS MD, MBA, FACOG
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 7 ARLEY WAY STE 101
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City | BLUFFTON
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State | SC
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Zip | 29910-4301
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Country | US
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Telephone | 843-522-7820
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Fax | 843-522-7821
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Provider Business Mailing Address
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Address Line | 5 BURCKMYER DR
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City | BEAUFORT
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State | SC
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Zip | 29907-1709
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Country | US
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Telephone | 843-476-2834
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036118542
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0361185642
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.120101
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 57007666
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 51675
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License Number State | SC
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