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General NPI Number Information
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NPI Number | 1780003376
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Entity Type | Individual
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Provider Name | CAROLYN ROLOFF MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 615 N MICHIGAN ST 5TH FL
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City | SOUTH BEND
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State | IN
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Zip | 46601-1033
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Country | US
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Telephone | 574-647-7275
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Fax | 574-647-3696
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Provider Business Mailing Address
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Address Line | 3245 HEALTH DR STE 100
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City | GRANGER
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State | IN
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Zip | 46530-1380
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Country | US
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Telephone | 574-647-6592
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01094886A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 121324
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01094886A
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License Number State | IN
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