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General NPI Number Information
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NPI Number | 1073580122
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Entity Type | Individual
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Provider Name | SIDNEY P ROHRSCHEIB M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 803 ILLINI DR
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City | CLINTON
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State | IL
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Zip | 61727-9444
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Country | US
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Telephone | 217-935-7037
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Fax | 217-935-7047
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Provider Business Mailing Address
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Address Line | 803 ILLINI DR
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City | CLINTON
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State | IL
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Zip | 61727-9444
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Country | US
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Telephone | 217-935-7037
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Fax | 217-935-7047
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.064607
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036090160
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License Number State | IL
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