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General NPI Number Information
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NPI Number | 1396718425
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Entity Type | Individual
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Provider Name | CLAUDIA M ROZUK MD
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Gender | Female
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 981 WOOSTER RD
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City | MILLERSBURG
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State | OH
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Zip | 44654-1536
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Country | US
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Telephone | 330-674-1015
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Fax | 330-674-9314
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Provider Business Mailing Address
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Address Line | 1109 EASTERN AVENUE PO BOX 769
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City | ASHLAND
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State | OH
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Zip | 44805
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Country | US
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Telephone | 419-281-4959
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Fax | 419-281-8767
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-04-6606R
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License Number State | OH
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