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General NPI Number Information
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NPI Number | 1891406260
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Entity Type | Individual
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Provider Name | TONYA ROBERSON
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Gender | Female
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 2514 N BROAD ST # 2
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City | PHILADELPHIA
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State | PA
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Zip | 19132-4013
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Country | US
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Telephone | 917-691-4219
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Fax |
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Provider Business Mailing Address
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Address Line | 4414 SHELBORNE DR
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City | CHATTANOOGA
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State | TN
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Zip | 37416-3314
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Country | US
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Telephone | 718-926-3520
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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