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General NPI Number Information
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NPI Number | 1184788457
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Entity Type | Organization
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Legal Business Name | DR CLIFFORD ROFFIS AND ASSOCIATES ODPC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 4811 S LABURNUM AVE
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City | RICHMOND
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State | VA
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Zip | 23231-2713
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Country | US
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Telephone | 804-226-1144
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Fax | 804-236-9026
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Provider Business Mailing Address
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Address Line | 4811 S LABURNUM AVE
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City | RICHMOND
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State | VA
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Zip | 23231-2713
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Country | US
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Telephone | 804-226-1144
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Fax | 804-236-9026
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Authorized Official
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Title or Position | OWNER
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Name | CLIFFORD ROFFIS
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Credential |
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Telephone | 804-226-1144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618000234
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License Number State | VA
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