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General NPI Number Information
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NPI Number | 1639101694
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Entity Type | Individual
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Provider Name | JAMES M ROSSELIT JR. DO
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3359 KEMP RD STE 120
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City | BEAVERCREEK
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State | OH
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Zip | 45431
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Country | US
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Telephone | 937-320-9400
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Fax | 937-427-5691
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Provider Business Mailing Address
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Address Line | PO BOX 951568
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City | CLEVELAND
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State | OH
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Zip | 44193
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Country | US
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Telephone | 937-293-0247
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Fax | 937-293-0969
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 34005558
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License Number State | OH
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