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General NPI Number Information
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NPI Number | 1396928404
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Entity Type | Organization
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Legal Business Name | JOEL R ROJAS INC
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 8121 VAN NUYS BLVD 510
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5105
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Country | US
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Telephone | 310-968-5687
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Fax |
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Provider Business Mailing Address
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Address Line | 8121 VAN NUYS BLVD 510
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5105
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Country | US
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Telephone | 310-968-5687
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JOEL R ROJAS
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Credential | M.D.
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Telephone | 310-968-5687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A76180
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License Number State | CA
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