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General NPI Number Information
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NPI Number | 1053591370
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Entity Type | Organization
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Legal Business Name | ROHRER FAMILY CLINIC,INC
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 1027 WASHINGTON AVE SUITE B
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City | VINCENNES
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State | IN
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Zip | 47591-2240
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Country | US
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Telephone | 812-882-3816
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Fax | 812-886-5914
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Provider Business Mailing Address
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Address Line | 1027 WASHINGTON AVE SUITE B
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City | VINCENNES
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State | IN
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Zip | 47591-2240
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Country | US
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Telephone | 812-882-3816
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Fax | 812-886-5914
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LISA A PIGG
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Credential | MA
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Telephone | 812-882-3816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02000342A
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License Number State | IN
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