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General NPI Number Information
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NPI Number | 1285795658
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Entity Type | Individual
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Provider Name | THOMAS JEROME ROJESKI
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1244 BRUDER RD
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City | MT PLEASANT
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State | MI
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Zip | 48858-9581
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Country | US
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Telephone | 989-772-9367
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Fax |
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Provider Business Mailing Address
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Address Line | 1244 BRUDER RD
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City | MT PLEASANT
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State | MI
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Zip | 48858-9581
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Country | US
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Telephone | 989-772-9367
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801061455
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License Number State | MI
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