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General NPI Number Information
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NPI Number | 1841635497
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Entity Type | Individual
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Provider Name | ROHIT THOMAS-KURUVILLA MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 2727 PLAZA DR
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City | WAUSAU
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State | WI
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Zip | 54401-4129
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Country | US
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Telephone | 715-847-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 WESTWOOD DR APT 52
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City | WAUSAU
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State | WI
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Zip | 54401-7827
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Country | US
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Telephone | 313-896-6560
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | .
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 76032-20
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License Number State | WI
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