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General NPI Number Information
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NPI Number | 1568563773
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Entity Type | Organization
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Legal Business Name | DAVID J. RODMAN, MD, PLLC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 100 HIGH ST
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City | BUFFALO
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State | NY
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Zip | 14203-1126
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Country | US
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Telephone | 716-854-1137
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Fax | 716-859-2533
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Provider Business Mailing Address
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Address Line | 100 HIGH ST
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City | BUFFALO
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State | NY
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Zip | 14203-1126
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Country | US
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Telephone | 716-854-1137
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Fax | 716-859-2533
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID J RODMAN
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Credential | M.D.
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Telephone | 716-854-1137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 150492
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License Number State | NY
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