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General NPI Number Information
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NPI Number | 1679778690
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Entity Type | Individual
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Provider Name | ROGER MATHEW TOGASHI R.N.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 528 28 3 4 ROAD
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City | GRAND JUNCTION
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State | CO
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Zip | 81501
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Country | US
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Telephone | 970-263-9535
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Fax |
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Provider Business Mailing Address
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Address Line | 3116 PINE CONE CT
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City | GRAND JUNCTION
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State | CO
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Zip | 81504-5965
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Country | US
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Telephone | 970-434-3983
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Fax |
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 101589
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License Number State | CO
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