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General NPI Number Information
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NPI Number | 1689848855
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Entity Type | Organization
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Legal Business Name | DR. ROBERTS & ASSOCIATES, INC.
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 1680 COOPER FOSTER PARK RD W SUITE A
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City | LORAIN
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State | OH
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Zip | 44053-3657
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Country | US
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Telephone | 440-989-1133
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Fax | 440-989-1137
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Provider Business Mailing Address
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Address Line | 1680 COOPER FOSTER PARK RD W SUITE A
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City | LORAIN
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State | OH
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Zip | 44053-3657
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Country | US
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Telephone | 440-989-1133
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Fax | 440-989-1137
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. JACK T. ROBERTS
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Credential | AU.D.
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Telephone | 440-989-1133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A00803
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License Number State | OH
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