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General NPI Number Information
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NPI Number | 1194814871
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Entity Type | Individual
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Provider Name | ROLANDO FABI GO MD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 2055 HOSPITAL DRIVE SUITE 235
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City | BATAVIA
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State | OH
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Zip | 45103
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Country | US
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Telephone | 513-732-3100
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Fax | 513-732-1939
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Provider Business Mailing Address
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Address Line | 1467 SOLUTIONS CENTER
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City | CHICAGO
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State | IL
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Zip | 60677-1004
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Country | US
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Telephone | 513-421-3504
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Fax | 513-231-7055
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 35-04-3367
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 35-043367
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License Number State | OH
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