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General NPI Number Information
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NPI Number | 1861441180
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Entity Type | Individual
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Provider Name | ALEX ROLA D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 12/16/2013
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Provider Practice Location Address
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Address Line | 1324 LAKELAND HILLS BOULEVARD EMERGENCY DEPARTMENT
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City | LAKELAND
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State | FL
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Zip | 33805
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Country | US
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Telephone | 813-391-1727
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Fax | 813-994-0027
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Provider Business Mailing Address
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Address Line | 27508 PINE POINT DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8756
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Country | US
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Telephone | 813-994-0027
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS8833
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License Number State | FL
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