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General NPI Number Information
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NPI Number | 1093144818
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Entity Type | Individual
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Provider Name | ROBERT H ROTERING M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 810 N WELO STREET
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City | TIOGA
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State | ND
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Zip | 58852-0159
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Country | US
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Telephone | 701-664-3305
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Fax | 701-664-2240
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Provider Business Mailing Address
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Address Line | P.O. BOX 159 810 N WELO STREET
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City | TIOGA
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State | ND
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Zip | 58852-0159
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Country | US
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Telephone | 701-664-3305
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Fax | 701-664-2240
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 9333
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License Number State | ND
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