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NPI 1689786444

NPI 1689786444 : BRUCE A ROPTE PA : PEORIA, AZ

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General NPI Number Information
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    NPI Number           |    1689786444
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    Entity Type          |    Individual 
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    Provider Name        |    BRUCE A ROPTE PA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    02/04/2014
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Provider Practice Location Address
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    Address Line         |    21731 N. 77TH AVENUE 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85382
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    Country              |    US
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    Telephone            |    623-561-3300
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    Fax                  |    623-561-3325
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Provider Business Mailing Address
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    Address Line         |    25500 N. NORTERRA PARKWAY BLDG. B.
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85085
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    Country              |    US
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    Telephone            |    623-561-3300
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    Fax                  |    623-561-3325
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    
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    License Number State |    
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