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General NPI Number Information
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NPI Number | 1598568552
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Entity Type | Organization
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Legal Business Name | HD ROSE LLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 208 A1 1ST AVE
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City | ZILLAH
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State | WA
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Zip | 98953-9426
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Country | US
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Telephone | 509-495-1954
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Fax | 480-781-4956
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | ZILLAH
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State | WA
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Zip | 98953-0068
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Country | US
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Telephone | 509-495-1954
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Fax | 480-781-4956
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JORDANN E LOEHR
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Credential | MD
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Telephone | 509-495-1954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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