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General NPI Number Information
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NPI Number | 1750386413
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Entity Type | Individual
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Provider Name | WILLIAM ROBERSON DO
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 105 ZEID BLVD
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City | HENDERSON
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State | TX
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Zip | 75652-6070
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Country | US
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Telephone | 903-315-5615
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Fax | 903-657-1187
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Provider Business Mailing Address
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Address Line | PO BOX 489
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City | MT ENTERPRISE
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State | TX
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Zip | 75681-0489
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Country | US
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Telephone | 903-392-8203
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Fax | 866-835-6516
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L9873
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License Number State | TX
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