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General NPI Number Information
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NPI Number | 1811494396
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Entity Type | Individual
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Provider Name | COURTNEY LEIGH ROBERTS MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 350 7TH ST N
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City | NAPLES
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State | FL
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Zip | 34102-5754
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Country | US
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Telephone | 239-624-3997
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26067
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City | SALT LAKE CITY
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State | UT
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Zip | 84126-0067
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Country | US
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Telephone | 239-624-0400
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME149263
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License Number State | FL
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