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General NPI Number Information
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NPI Number | 1891975181
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Entity Type | Organization
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Legal Business Name | BRUCE A ROLFE, MD
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 12303 NE 130TH LN STE 220
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City | KIRKLAND
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State | WA
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Zip | 98034-3060
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Country | US
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Telephone | 425-899-6060
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Fax | 425-899-6078
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Provider Business Mailing Address
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Address Line | 12303 NE 130TH LN STE 220
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City | KIRKLAND
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State | WA
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Zip | 98034-3060
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Country | US
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Telephone | 425-899-6060
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Fax | 425-899-6078
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRUCE A ROLFE
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Credential | MD
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Telephone | 425-899-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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