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General NPI Number Information
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NPI Number | 1316981954
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Entity Type | Individual
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Provider Name | RICHARD A. ROGACHEFSKY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 15901 HAWTHORNE BLVD STE 250
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City | LAWNDALE
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State | CA
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Zip | 90260-2655
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Country | US
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Telephone | 714-434-8663
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Fax | 714-549-9287
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Provider Business Mailing Address
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Address Line | 1360 W. 6TH STREET #305N 1360 W. 6TH STREET #305N
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City | SAN PEDRO
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State | CA
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Zip | 90732
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Country | US
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Telephone | 424-570-4810
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Fax | 424-218-0874
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME99035
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 212390-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | G89005
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License Number State | CA
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