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General NPI Number Information
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NPI Number | 1235245341
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Entity Type | Individual
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Provider Name | JORGE W ROIG MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 651 COLLIERS WAY STE 510
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City | WEIRTON
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State | WV
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Zip | 26062-5054
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Country | US
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Telephone | 304-797-6595
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Fax | 304-797-6052
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Provider Business Mailing Address
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Address Line | 109 MOUNT WOOD RD
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City | WHEELING
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State | WV
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Zip | 26003-2632
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Country | US
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Telephone | 304-233-2455
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Fax |
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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 | 35-079250
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 20028
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License Number State | WV
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