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General NPI Number Information
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NPI Number | 1629088968
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Entity Type | Individual
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Provider Name | JULIAN F ROSE MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 403 TOWNE CENTER BLVD STE. 101A
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City | RIDGELAND
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State | MS
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Zip | 39157-4843
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Country | US
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Telephone | 601-982-7111
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Fax | 601-981-2524
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Provider Business Mailing Address
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Address Line | PO BOX 320538
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City | FLOWOOD
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State | MS
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Zip | 39232-0538
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Country | US
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Telephone | 601-982-7111
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Fax | 601-981-2524
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 08416
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 08416
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 08416
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 08416
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License Number State | MS
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