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General NPI Number Information
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NPI Number | 1447242300
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Entity Type | Individual
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Provider Name | OSCAR I ROJAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 1209 W TARGET RANGE RD SUITE 103
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City | NOGALES
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State | AZ
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Zip | 85621-2466
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Country | US
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Telephone | 520-287-4656
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Fax | 520-287-2444
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Provider Business Mailing Address
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Address Line | 1209 W TARGET RANGE RD SUITE 103
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City | NOGALES
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State | AZ
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Zip | 85621-2466
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Country | US
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Telephone | 520-287-4656
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Fax | 520-287-2444
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 18641
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License Number State | AZ
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