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General NPI Number Information
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NPI Number | 1851394407
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Entity Type | Individual
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Provider Name | DEBORAH K ROBERTSON N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3048 E BASELINE RD STE 109
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City | MESA
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State | AZ
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Zip | 85204-7287
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Country | US
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Telephone | 480-632-1117
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Fax | 480-632-1118
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Provider Business Mailing Address
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Address Line | 974 W BRECKENRIDGE AVE
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City | GILBERT
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State | AZ
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Zip | 85233-3765
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Country | US
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Telephone | 480-632-1117
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Fax | 480-632-1118
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN058218
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License Number State | AZ
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