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General NPI Number Information
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NPI Number | 1588207344
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Entity Type | Individual
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Provider Name | HALEY MARGARET ROBERTS PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 2200 PARK BEND DR BLDG 3-300
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City | AUSTIN
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State | TX
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Zip | 78758-5386
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Country | US
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Telephone | 512-467-2727
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Fax | 512-873-7576
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Provider Business Mailing Address
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Address Line | 2200 PARK BEND DR BLDG 3-300
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City | AUSTIN
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State | TX
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Zip | 78758-5386
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Country | US
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Telephone | 512-300-9520
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA13124
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License Number State | TX
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