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General NPI Number Information
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NPI Number | 1316964752
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Entity Type | Individual
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Provider Name | DAVID ROCAMBOLI D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 1100 ADAMS ST APT 509
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City | HOBOKEN
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State | NJ
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Zip | 07030-9019
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Country | US
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Telephone | 917-873-6284
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Fax | 973-893-0135
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Provider Business Mailing Address
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Address Line | 1100 ADAMS ST APT 509
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City | HOBOKEN
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State | NJ
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Zip | 07030-9019
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Country | US
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Telephone | 917-873-6284
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Fax | 973-893-0135
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MA79029
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License Number State | NJ
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