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General NPI Number Information
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NPI Number | 1023085784
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Entity Type | Individual
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Provider Name | HUGO K ROESLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 1141 S ROSE ST SUITE A
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City | KALAMAZOO
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State | MI
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Zip | 49001-2652
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Country | US
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Telephone | 269-344-8700
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Fax | 269-344-8199
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Provider Business Mailing Address
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Address Line | 2712 TALIESIN DR
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City | KALAMAZOO
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State | MI
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Zip | 49008-2015
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Country | US
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Telephone | 269-344-8700
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Fax | 269-344-8199
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 4301026293
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License Number State | MI
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