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General NPI Number Information
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NPI Number | 1366520991
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Entity Type | Individual
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Provider Name | HOOTAN C. ROOZROKH MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 14911 NATIONAL AVE STE 1
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City | LOS GATOS
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State | CA
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Zip | 95032-2632
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Country | US
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Telephone | 408-688-2149
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Fax | 408-688-2505
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Provider Business Mailing Address
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Address Line | 14911 NATIONAL AVE STE 1
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City | LOS GATOS
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State | CA
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Zip | 95032-2632
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Country | US
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Telephone | 408-688-2149
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Fax | 408-688-2505
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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 | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | A83949
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | A83949
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License Number State | CA
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