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General NPI Number Information
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NPI Number | 1265869374
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Entity Type | Organization
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Legal Business Name | JAMES W. ROKOS DDS MS PLLC
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 701 N 2ND ST
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City | ALBEMARLE
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State | NC
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Zip | 28001-3313
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Country | US
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Telephone | 704-982-6312
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Fax | 704-983-7951
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Provider Business Mailing Address
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Address Line | 701 N 2ND ST
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City | ALBEMARLE
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State | NC
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Zip | 28001-3313
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Country | US
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Telephone | 704-982-6312
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Fax | 704-983-7951
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Authorized Official
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Title or Position | OWNER
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Name | JAMES ROKOS
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Credential | DDS
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Telephone | 704-982-6312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 5952
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License Number State | NC
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