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General NPI Number Information
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NPI Number | 1255317277
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Entity Type | Individual
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Provider Name | ROLF C LOESCHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 2003 STULTS RD STE 215
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City | HUNTINGTON
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State | IN
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Zip | 46750-1291
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Country | US
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Telephone | 260-355-3960
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Fax | 260-355-3969
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Provider Business Mailing Address
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Address Line | 4770 WINTERBERRY PL
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City | COLUMBUS
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State | IN
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Zip | 47201-9731
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01036582A
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License Number State | IN
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