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General NPI Number Information
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NPI Number | 1215903141
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Entity Type | Individual
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Provider Name | WALTER ROGOFF M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 23845 MCBEAN PKWY
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City | VALENCIA
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State | CA
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Zip | 91355-2001
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Country | US
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Telephone | 661-253-8433
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Fax |
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Provider Business Mailing Address
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Address Line | 225 S LAKE AVE STE 535
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City | PASADENA
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State | CA
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Zip | 91101-3010
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Country | US
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Telephone | 626-204-6746
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Fax | 626-240-4990
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A42624
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A42624
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License Number State | CA
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