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General NPI Number Information
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NPI Number | 1093176133
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Entity Type | Organization
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Legal Business Name | ROTEN SIGNING SERVICE
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 6501 PACES ARBOR CIR UNIT 618
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City | RALEIGH
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State | NC
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Zip | 27609-2808
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Country | US
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Telephone | 919-314-7138
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Fax | 984-200-8650
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Provider Business Mailing Address
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Address Line | 6501 PACES ARBOR CIR UNIT 618
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City | RALEIGH
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State | NC
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Zip | 27609-2808
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Country | US
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Telephone | 919-314-7138
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Fax | 984-200-8650
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Authorized Official
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Title or Position | OWNER
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Name | MR. GREGORY BRIAN ROTEN
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Credential | RMA,CPHT,NSA
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Telephone | 919-314-7138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0230020216
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License Number State | VA
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