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General NPI Number Information
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NPI Number | 1952306482
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Entity Type | Individual
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Provider Name | LAURA ROBLEDO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 10090 RUSHING RD STE B
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City | EL PASO
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State | TX
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Zip | 79924-3803
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Country | US
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Telephone | 915-248-1793
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Fax | 915-225-3745
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Provider Business Mailing Address
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Address Line | 10090 RUSHING RD STE B
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City | EL PASO
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State | TX
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Zip | 79924-3803
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Country | US
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Telephone | 915-248-1793
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Fax | 915-225-3745
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2001-295
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | S1903
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License Number State | TX
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