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General NPI Number Information
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NPI Number | 1821958794
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Entity Type | Individual
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Provider Name | KELLIE MICHELE ROBY AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 2931 PERRYTON PKWY STE B
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City | PAMPA
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State | TX
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Zip | 79065-2823
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Country | US
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Telephone | 806-639-5916
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Fax | 806-639-5882
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Provider Business Mailing Address
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Address Line | 1020 S 4TH ST
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City | CANADIAN
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State | TX
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Zip | 79014-3315
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Country | US
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Telephone | 806-323-1100
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Fax | 806-323-1144
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1217213
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1217213
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License Number State | TX
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