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General NPI Number Information
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NPI Number | 1023511268
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Entity Type | Organization
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Legal Business Name | CASCADE MEDICAL CENTER
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 1007 N ORANGE ST
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City | WILMINGTON
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State | DE
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Zip | 19801-1239
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Country | US
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Telephone | 717-298-3563
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 N WASHINGTON ST
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City | WILMINGTON
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State | DE
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Zip | 19802-3141
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DR
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Name | DR. ERIC ADAM ROTH
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Credential | DO
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Telephone | 717-298-3563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 1354863466
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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