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General NPI Number Information
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NPI Number | 1568648228
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Entity Type | Organization
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Legal Business Name | JAMES E. ROCCO MD PC
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Dates
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Enumeration Date | 01/12/2008
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 601 SUNDAY LAKE ST
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City | WAKEFIELD
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State | MI
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Zip | 49968-1341
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Country | US
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Telephone | 906-229-9080
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Fax | 906-229-9083
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Provider Business Mailing Address
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Address Line | 601 SUNDAY LAKE ST
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City | WAKEFIELD
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State | MI
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Zip | 49968-1341
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Country | US
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Telephone | 906-229-9080
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Fax | 906-229-9083
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Authorized Official
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Title or Position | MD
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Name | DR. JAMES ROCCO
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Credential |
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Telephone | 906-229-9080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301055264
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License Number State | MI
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