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General NPI Number Information
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NPI Number | 1811022841
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Entity Type | Individual
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Provider Name | DON ALLEN ROBERTS R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1926 N BRYANT BLVD
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City | SAN ANGELO
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State | TX
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Zip | 76903-3744
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Country | US
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Telephone | 325-653-3271
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Fax | 325-653-3272
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Provider Business Mailing Address
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Address Line | 4926 MARINER TER
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City | SAN ANGELO
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State | TX
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Zip | 76903-9492
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Country | US
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Telephone | 325-227-6886
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18898
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License Number State | TX
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