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General NPI Number Information
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NPI Number | 1578593620
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Entity Type | Individual
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Provider Name | PHILIP L ROBERTS MD
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/21/2015
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Provider Practice Location Address
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Address Line | 529 CAPP HARLAN RD
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City | TOMPKINSVILLE
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State | KY
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Zip | 42167-1808
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Country | US
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Telephone | 270-487-9231
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Fax | 270-487-5784
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Provider Business Mailing Address
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Address Line | PO BOX 682985
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City | FRANKLIN
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State | TN
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Zip | 37068-2985
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Country | US
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Telephone | 615-972-9700
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Fax | 615-369-6340
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 23857
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 23857
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License Number State | TN
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