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General NPI Number Information
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NPI Number | 1972775518
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Entity Type | Organization
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Legal Business Name | DAVID A. ROVNO M.D. INC
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 2220 MOUNTAIN BLVD SUITE 240
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City | OAKLAND
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State | CA
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Zip | 94611-2958
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Country | US
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Telephone | 510-531-7523
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 MOUNTAIN BLVD SUITE 240
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City | OAKLAND
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State | CA
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Zip | 94611-2958
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Country | US
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Telephone | 510-531-7523
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DAVID A ROVNO
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Credential | M.D.
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Telephone | 510-531-7523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C28917
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License Number State | CA
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