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General NPI Number Information
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NPI Number | 1720947864
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Entity Type | Individual
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Provider Name | CHANTELL S ROBERTS RN
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1201 PLEASANT VALLEY RD
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City | OWENSBORO
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State | KY
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Zip | 42303-9811
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Country | US
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Telephone | 270-417-5352
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Fax |
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Provider Business Mailing Address
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Address Line | 1248 STATE ROUTE 130 N
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City | MORGANFIELD
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State | KY
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Zip | 42437-5403
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Country | US
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Telephone | 270-315-3976
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 1130345
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License Number State | KY
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