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General NPI Number Information
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NPI Number | 1164622692
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Entity Type | Organization
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Legal Business Name | DR ROSE & WARD MD INC
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 3017 WILMINGTON PIKE LOWER LEVEL
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City | DAYTON
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State | OH
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Zip | 45429-4169
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Country | US
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Telephone | 937-299-9700
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Fax | 937-299-9778
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Provider Business Mailing Address
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Address Line | 3017 WILMINGTON PIKE LOWER LEVEL
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City | DAYTON
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State | OH
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Zip | 45429-4169
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Country | US
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Telephone | 937-299-9700
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Fax | 937-299-9778
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LOUIS FRANCIS ROSE
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Credential |
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Telephone | 937-299-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | OH
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