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General NPI Number Information
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NPI Number | 1053599936
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Entity Type | Individual
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Provider Name | JEANNE M. RORABECK MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 07/20/2018
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Provider Practice Location Address
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Address Line | 172 W 3RD ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92415
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Country | US
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Telephone | 909-387-6462
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Fax | 909-387-6444
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Provider Business Mailing Address
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Address Line | 172 W 3RD ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92415-0010
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Country | US
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Telephone | 909-387-6462
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Fax | 909-387-6444
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G86994
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | G86994
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License Number State | CA
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