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General NPI Number Information
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NPI Number | 1851856355
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Entity Type | Individual
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Provider Name | EMILY CATHRYN ROBERTS DAT, MED, AT
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Gender | Female
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 260 STADIUM DR
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City | NEW CONCORD
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State | OH
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Zip | 43762-1146
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Country | US
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Telephone | 740-826-6141
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4
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City | PHILO
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State | OH
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Zip | 43771-0004
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Country | US
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Telephone | 567-322-1791
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT006219
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License Number State | OH
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