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General NPI Number Information
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NPI Number | 1285680371
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Entity Type | Individual
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Provider Name | OMID ROWSHAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 1 COOPER PLZ
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City | CAMDEN
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State | NJ
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Zip | 08103
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Country | US
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Telephone | 856-356-4924
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE SW200
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City | CAMDEN
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State | NJ
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Zip | 08103-1155
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Country | US
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Telephone | 856-356-4924
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD046380L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD046380L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | MD046380L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA07055100
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License Number State | NJ
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