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NPI 1215071576

NPI 1215071576 : ROD J ROHRICH MD PA : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1215071576
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROD J ROHRICH MD PA 
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Dates
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    Enumeration Date     |    02/19/2007
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    Last Update Date     |    11/23/2009
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Provider Practice Location Address
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    Address Line         |    9101 N CENTRAL EXPY SUITE 600
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-5956
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    Country              |    US
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    Telephone            |    214-821-9114
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    Fax                  |    214-818-4768
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Provider Business Mailing Address
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    Address Line         |    9101 N CENTRAL EXPY SUITE 600
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-5956
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    Country              |    US
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    Telephone            |    214-821-9114
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    Fax                  |    214-818-4768
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ROD J ROHRICH 
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    Credential           |    M.D.
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    Telephone            |    214-821-9114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2086S0122X
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    Taxonomy Name        |    Plastic and Reconstructive Surgery Physician
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    License Number       |    F4446
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    License Number State |    TX
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