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General NPI Number Information
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NPI Number | 1538416052
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Entity Type | Organization
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Legal Business Name | JAMES W. ROAT, M.D., P.C.
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 2910 HAMILTON BLVD STE 103
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City | SIOUX CITY
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State | IA
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Zip | 51104-2423
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Country | US
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Telephone | 712-252-1322
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Fax | 712-252-1353
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Provider Business Mailing Address
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Address Line | 2910 HAMILTON BLVD STE 103
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City | SIOUX CITY
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State | IA
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Zip | 51104-2423
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Country | US
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Telephone | 712-252-1322
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Fax | 712-252-1353
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES WILLIAM ROAT
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Credential |
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Telephone | 712-252-1322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 23838
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License Number State | IA
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