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General NPI Number Information
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NPI Number | 1780284612
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Entity Type | Organization
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Legal Business Name | ROBERTS & ASSOCIATES - GREENSBORO PLLC
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1135 N CHURCH ST
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City | BURLINGTON
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State | NC
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Zip | 27217-2701
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Country | US
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Telephone | 336-395-1627
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Fax | 336-450-1810
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Provider Business Mailing Address
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Address Line | 1135 N CHURCH ST
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City | BURLINGTON
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State | NC
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Zip | 27217-2701
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Country | US
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Telephone | 336-395-1627
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MRS. TERESA ZWICKY
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Credential |
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Telephone | 480-866-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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