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General NPI Number Information
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NPI Number | 1639641202
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Entity Type | Individual
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Provider Name | ERIN MOLLY ROBERTSON APRNCNP
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Gender | Female
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 1717 S BOULDER AVE STE 700
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City | TULSA
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State | OK
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Zip | 74119-4845
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Country | US
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Telephone | 918-295-7506
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Fax | 918-600-2639
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Provider Business Mailing Address
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Address Line | 1717 S BOULDER AVE STE 700
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City | TULSA
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State | OK
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Zip | 74119-4845
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Country | US
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Telephone | 918-295-7506
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Fax | 918-600-2639
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 85964
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 85964
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License Number State | OK
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