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General NPI Number Information
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NPI Number | 1760296685
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Entity Type | Individual
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Provider Name | ROBERT RAYMOND ROSZELL
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Gender | Male
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 615 S BOWER ST
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City | GREENVILLE
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State | MI
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Zip | 48838-2614
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Country | US
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Telephone | 616-754-4691
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Fax |
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Provider Business Mailing Address
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Address Line | 447 E PINE ST
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City | FREMONT
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State | MI
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Zip | 49412-1737
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Country | US
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Telephone | 616-318-9854
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number |
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License Number State |
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