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General NPI Number Information
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NPI Number | 1790932499
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Entity Type | Individual
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Provider Name | KESHA SHUNTE ROBERTSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 110 HOSPITAL RD STE 203
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-4045
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Country | US
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Telephone | 410-414-4740
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Fax | 410-414-4741
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Provider Business Mailing Address
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Address Line | 100 HOSPITAL ROAD ATTN: CONTRACTING & CREDENTIALING COORDINATOR
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678
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Country | US
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Telephone | 410-414-4791
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Fax | 410-414-2721
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 57684
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101279656
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101279656
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D85185
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 57684
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | N4041
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License Number State | TX
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