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General NPI Number Information
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NPI Number | 1750374419
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Entity Type | Individual
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Provider Name | DR. ROLAND M KOHR
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Gender | Male
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Dates
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Enumeration Date | 08/29/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3901 S 7TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47802-5709
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Country | US
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Telephone | 812-234-8261
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Fax | 812-234-8262
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Provider Business Mailing Address
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Address Line | 2901 OHIO BLVD SUITE 127
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City | TERRE HAUTE
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State | IN
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Zip | 47803-2239
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Country | US
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Telephone | 812-234-8261
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Fax | 812-234-8262
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 01028973
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License Number State | IN
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