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General NPI Number Information
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NPI Number | 1851440614
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Entity Type | Organization
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Legal Business Name | RGR VENTURES LLC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 850 GARDEN ST
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City | TITUSVILLE
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State | FL
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Zip | 32780-3411
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Country | US
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Telephone | 321-267-3233
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Fax | 321-267-5141
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Provider Business Mailing Address
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Address Line | 850 GARDEN ST
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City | TITUSVILLE
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State | FL
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Zip | 32796-3411
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Country | US
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Telephone | 321-267-3233
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Fax | 321-267-5141
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT G ROSEN
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Credential | DPM
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Telephone | 321-267-3233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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