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General NPI Number Information
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NPI Number | 1881781607
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Entity Type | Individual
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Provider Name | KIM L ROEBUCK M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 3101 DIXIE HWY
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City | HAMILTON
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State | OH
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Zip | 45015-1653
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Country | US
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Telephone | 513-737-3400
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Fax | 513-893-3264
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Provider Business Mailing Address
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Address Line | 8160 RED MILL DR
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City | WEST CHESTER
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State | OH
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Zip | 45069-1748
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Country | US
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Telephone | 513-777-7289
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Fax | 513-893-3264
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35-05-1318-R
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License Number State | OH
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