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General NPI Number Information
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NPI Number | 1730349754
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Entity Type | Organization
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Legal Business Name | ELIZABETH J ROBERTS, M.D., INC.
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 25460 MEDICAL CENTER DR SUITE 203
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City | MURRIETA
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State | CA
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Zip | 92562-5985
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Country | US
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Telephone | 951-894-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 25460 MEDICAL CENTER DR SUITE 203
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City | MURRIETA
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State | CA
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Zip | 92562-5985
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Country | US
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Telephone | 951-894-6900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PSYCHIATRIST
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Name | DR. ELIZABETH JOZAITIS ROBERTS
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Credential | M.D.
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Telephone | 951-894-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | G86360
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G86360
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License Number State | CA
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