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General NPI Number Information
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NPI Number | 1851771380
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Entity Type | Individual
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Provider Name | EMILY ROBERTS-PARKER PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 9500 GILMAN DR DEPT 304
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City | LA JOLLA
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State | CA
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Zip | 92093-2394
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Country | US
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Telephone | 858-534-3755
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Fax |
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Provider Business Mailing Address
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Address Line | 1963 4TH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92101-2394
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Country | US
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Telephone | 619-233-3432
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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