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General NPI Number Information
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NPI Number | 1053486936
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Entity Type | Individual
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Provider Name | MITCHELL CHARLES ROSSMAN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2006
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 930 BELLEFONTE AVE STE 103
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City | LOCK HAVEN
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State | PA
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Zip | 17745-2749
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Country | US
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Telephone | 570-660-9358
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Fax |
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Provider Business Mailing Address
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Address Line | 621 VALLEY VIEW RD
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City | BELLEFONTE
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State | PA
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Zip | 16823-8906
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Country | US
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Telephone | 814-355-1850
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Fax | 814-355-8909
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | SC005592
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License Number State | PA
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