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General NPI Number Information
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NPI Number | 1871792051
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Entity Type | Individual
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Provider Name | ADRIENNE CHANELLE ROBERTSON MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 107 W LYTLE ST
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City | MURFREESBORO
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State | TN
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Zip | 37130-3607
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Country | US
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Telephone | 615-278-8379
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Fax | 888-586-6657
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Provider Business Mailing Address
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Address Line | 214 1ST AVE
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City | MURFREESBORO
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State | TN
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Zip | 37130-4404
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Country | US
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Telephone | 615-278-8379
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Fax | 888-586-6657
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 57977
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.206930
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2020043131
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA11039900
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.42156
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | T9488
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 89662
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01084906A
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License Number State | IN
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