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General NPI Number Information
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NPI Number | 1548585946
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Entity Type | Organization
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Legal Business Name | DRS. ROH AND PARK, LLC
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 9470 ANNAPOLIS RD STE 101
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City | LANHAM
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State | MD
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Zip | 20706-4048
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Country | US
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Telephone | 301-577-4377
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Fax | 301-577-0870
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Provider Business Mailing Address
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Address Line | 9470 ANNAPOLIS RD STE 101
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City | LANHAM
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State | MD
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Zip | 20706-4048
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Country | US
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Telephone | 301-577-4377
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Fax | 301-577-0870
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. YOONCHUL ROH
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Credential | D.M.D
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Telephone | 301-577-4377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13225
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License Number State | MD
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