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General NPI Number Information
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NPI Number | 1609936293
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Entity Type | Individual
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Provider Name | CHRISTOPHER H. ROBERTS M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 2120 DAVIS BLVD STE 1
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City | JOPLIN
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State | MO
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Zip | 64804-3278
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Country | US
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Telephone | 417-622-0911
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Fax | 417-622-0730
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Provider Business Mailing Address
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Address Line | 8458 CEDAR DR
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City | JOPLIN
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State | MO
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Zip | 64804-8435
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Country | US
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Telephone | 417-434-1229
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Fax | 417-622-0730
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 04-34426
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 106994
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 106994
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License Number State | MO
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