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General NPI Number Information
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NPI Number | 1336174242
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Entity Type | Individual
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Provider Name | ROGER OVE MD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-844-2558
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40010
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City | MOBILE
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State | AL
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Zip | 36640-0010
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Country | US
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Telephone | 251-665-8000
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Fax | 251-665-8010
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 23329
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35.125721
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 40281
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2005-01653
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 19096
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License Number State | MS
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