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General NPI Number Information
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NPI Number | 1316884133
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Entity Type | Organization
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Legal Business Name | OTTO ROZA M.D., P.A.
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 11110 MEDICAL CAMPUS RD STE 149
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6755
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Country | US
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Telephone | 301-797-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 12931 OAK HILL AVE
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City | HAGERSTOWN
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State | MD
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Zip | 21742-2914
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Country | US
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Telephone | 301-797-9600
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JENN DAWN ROHRER
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Credential |
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Telephone | 301-797-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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