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General NPI Number Information
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NPI Number | 1487053518
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Entity Type | Individual
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Provider Name | ROHIT KUMAR D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 5002 BRAMBLETON AVE STE A
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City | ROANOKE
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State | VA
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Zip | 24018-4607
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Country | US
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Telephone | 540-874-0561
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Fax |
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Provider Business Mailing Address
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Address Line | 5002 BRAMBLETON AVE STE A
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City | ROANOKE
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State | VA
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Zip | 24018-4607
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Country | US
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Telephone | 540-874-0561
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 9790
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401416807
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License Number State | VA
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