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General NPI Number Information
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NPI Number | 1316974389
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Entity Type | Individual
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Provider Name | MARC STEPHEN ROCKLIN MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 4735 E 91ST ST #200
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City | TULSA
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State | OK
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Zip | 74137-2804
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Country | US
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Telephone | 918-794-4788
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Fax | 918-794-4789
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Provider Business Mailing Address
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Address Line | 6600 S YALE AVE SUITE 1400
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City | TULSA
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State | OK
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Zip | 74136-3347
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Country | US
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Telephone | 918-488-6001
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Fax | 918-488-6010
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 17406
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License Number State | OK
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