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General NPI Number Information
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NPI Number | 1750372876
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Entity Type | Individual
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Provider Name | RANDALL R. WROBLE MD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 7277 SMITHS MILL RD
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City | NEW ALBANY
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State | OH
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Zip | 43054-8195
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Country | US
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Telephone | 614-221-6331
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Fax | 614-221-9042
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Provider Business Mailing Address
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Address Line | 7277 SMITHS MILL RD
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City | NEW ALBANY
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State | OH
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Zip | 43054-8195
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Country | US
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Telephone | 614-221-6331
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Fax | 614-221-9042
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35.054967
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 35-05-4967
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License Number State | OH
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