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General NPI Number Information
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NPI Number | 1558437335
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Entity Type | Individual
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Provider Name | BARBARA F. ROBERTS P,T.
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Gender | Female
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Dates
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Enumeration Date | 11/26/2006
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 11975 SEAWAY RD SUITE A226
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City | GULFPORT
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State | MS
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Zip | 39503-6015
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Country | US
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Telephone | 228-896-2824
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Fax | 228-896-2825
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Provider Business Mailing Address
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Address Line | 310 VANDENBERG DR
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City | BILOXI
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State | MS
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Zip | 39531-6164
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Country | US
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Telephone | 847-924-6108
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070012139
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 5031
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License Number State | MS
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