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General NPI Number Information
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NPI Number | 1750794558
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Entity Type | Individual
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Provider Name | CHRISTOPHER ROBERTS
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Gender | Male
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 10/04/2014
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Provider Practice Location Address
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Address Line | 2510 NW 25TH ST
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City | CAPE CORAL
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State | FL
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Zip | 33993-8269
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Country | US
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Telephone | 239-888-4051
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 152934
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City | CAPE CORAL
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State | FL
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Zip | 33915-2934
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Country | US
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Telephone | 239-888-4051
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | R163110833400
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State | FL
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