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General NPI Number Information
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NPI Number | 1972987444
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Entity Type | Organization
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Legal Business Name | TESSA E ROHRBERG MD PA
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 1230 E 6TH AVE STE 1B
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City | WINFIELD
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State | KS
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Zip | 67156
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Country | US
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Telephone | 620-402-6400
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Fax | 620-705-5756
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Provider Business Mailing Address
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Address Line | 1230 E 6TH AVE STE 1B
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City | WINFIELD
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State | KS
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Zip | 67156-3144
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Country | US
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Telephone | 620-402-6400
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Fax | 620-705-5756
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VICKY DICE
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Credential |
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Telephone | 620-402-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0436959
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License Number State | KS
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