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General NPI Number Information
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NPI Number | 1023353802
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Entity Type | Organization
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Legal Business Name | ANNA ROYSMAN, M.D., INC.
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 5800 JAMESON CT STE 3 & 4
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City | CARMICHAEL
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State | CA
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Zip | 95608-0880
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Country | US
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Telephone | 916-847-6804
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Fax |
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Provider Business Mailing Address
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Address Line | 5800 JAMESON CT STE 3 & 4
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City | CARMICHAEL
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State | CA
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Zip | 95608-0880
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Country | US
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Telephone | 916-847-6804
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Fax |
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Authorized Official
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Title or Position | MD
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Name | ANNA ROYSMAN
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Credential |
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Telephone | 916-847-6804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A56391
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License Number State | CA
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