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General NPI Number Information
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NPI Number | 1083873335
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Entity Type | Individual
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Provider Name | ALEXANDER TUAN ROSE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 836 PRUDENTIAL DR SUITE 1001
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8334
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Country | US
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Telephone | 904-398-0033
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Fax | 904-398-6774
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Provider Business Mailing Address
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Address Line | 11945 SAN JOSE BLVD SUITE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32223-1613
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Country | US
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Telephone | 904-396-1725
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Fax | 904-399-1717
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | ME110614
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License Number State | FL
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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 | ME110614
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License Number State | FL
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