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General NPI Number Information
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NPI Number | 1235883695
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Entity Type | Organization
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Legal Business Name | EUGENE F ROGINSKY JR PC
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 46 W MARKET ST
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City | DANVILLE
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State | PA
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Zip | 17821-1896
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Country | US
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Telephone | 570-953-8046
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Fax |
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Provider Business Mailing Address
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Address Line | 46 W MARKET ST
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City | DANVILLE
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State | PA
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Zip | 17821-1896
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Country | US
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Telephone | 570-953-8046
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EUGENE F ROGINSKY JR.
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Credential | DMD
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Telephone | 610-306-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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