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General NPI Number Information
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NPI Number | 1528021318
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Entity Type | Individual
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Provider Name | JOSEPH M ROGLIERI D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 258 HOOSICK ST SUITE 101
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City | TROY
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State | NY
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Zip | 12180-2427
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Country | US
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Telephone | 518-274-5660
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Fax | 518-274-5666
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Provider Business Mailing Address
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Address Line | 1 SILO DR
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City | WATERFORD
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State | NY
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Zip | 12188-1249
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Country | US
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Telephone | 518-383-4046
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 233229
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License Number State | NY
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