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General NPI Number Information
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NPI Number | 1407161524
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Entity Type | Organization
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Legal Business Name | EUGENE D. ROHACZ, DPM, PC
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 231 WEST CARLETON ROAD
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City | HILLSDALE
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State | MI
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Zip | 49242-0742
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Country | US
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Telephone | 517-439-3338
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Fax | 517-439-4482
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Provider Business Mailing Address
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Address Line | 231 W CARLETON RD
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City | HILLSDALE
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State | MI
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Zip | 49242-5033
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Country | US
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Telephone | 517-439-3338
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Fax | 517-439-4482
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Authorized Official
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Title or Position | OWNER
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Name | DR. EUGENE DOMINIC ROHACZ
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Credential | D.P.M.
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Telephone | 517-439-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901001700
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License Number State | MI
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