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General NPI Number Information
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NPI Number | 1255698932
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Entity Type | Organization
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Legal Business Name | ROKA MANAGEMENT L.L.C.
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 241 W MAPLE AVE SUITE B
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City | LANGHORNE
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State | PA
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Zip | 19047-2180
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Country | US
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Telephone | 215-970-5629
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Fax | 215-970-5623
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Provider Business Mailing Address
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Address Line | 10125 VERREE RD STE 203
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3674
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Country | US
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Telephone | 215-970-5629
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Fax | 215-970-5623
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Authorized Official
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Title or Position | MEMBER/OPERATIONS DIRECTOR
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Name | MS. BARBARA GUBBINS ROSSI
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Credential | RN
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Telephone | 215-970-5629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS010818L
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License Number State | PA
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