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General NPI Number Information
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NPI Number | 1558418822
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Entity Type | Individual
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Provider Name | MONIQUE MARIE ROBLES M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 6225 HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2373
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Country | US
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Telephone | 901-227-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 46838
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 58265
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | L6665
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License Number State | TX
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