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General NPI Number Information
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NPI Number | 1063710390
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Entity Type | Organization
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Legal Business Name | ROSH OB-GYN ULTRASOUND PLLC
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 903 LEXINGTON AVE FRNT 1A
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City | NEW YORK
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State | NY
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Zip | 10065-5987
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Country | US
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Telephone | 212-249-3949
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Fax | 718-253-2333
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Provider Business Mailing Address
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Address Line | PO BOX 645981
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City | CINCINNATI
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State | OH
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Zip | 45264-5981
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Country | US
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Telephone | 212-725-0123
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Fax | 718-253-2333
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DANIEL F. ROSHAN
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Credential | MD
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Telephone | 212-725-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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