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General NPI Number Information
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NPI Number | 1114146982
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Entity Type | Organization
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Legal Business Name | EDWARD A ROSBOSCHIL
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 845 SIR THOMAS CT
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City | HARRISBURG
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State | PA
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Zip | 17109-4840
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Country | US
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Telephone | 717-657-2280
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Fax |
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Provider Business Mailing Address
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Address Line | 845 SIR THOMAS CT
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City | HARRISBURG
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State | PA
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Zip | 17109-4840
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Country | US
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Telephone | 717-657-2280
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PODIATRIC MEDICINE
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Name | DR. EDWARD A ROSBOSCHIL
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Credential |
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Telephone | 717-657-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SCOO1776L
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License Number State | PA
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