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General NPI Number Information
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NPI Number | 1770138588
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Entity Type | Individual
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Provider Name | MICHAEL ROZANSKI
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Gender | Male
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 2401 ATHERHOLT RD
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City | LYNCHBURG
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State | VA
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Zip | 24501-2184
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Country | US
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Telephone | 434-947-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 1481 WILLOW OAK DR
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City | FOREST
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State | VA
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Zip | 24551-2997
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Country | US
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Telephone | 570-479-1650
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 128455
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN657028
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024190793
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License Number State | VA
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