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Individual
MR. TERRY DEAN ROODE
Active
Individual
MR. TERRY DEAN ROODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-3323
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488600
—
OH
05
—
0995811
—
OH
01
—
1417992710
GROUP NPI
OH
01
—
1801976311
GROUP NPI
OH
01
—
H084151
PTAN
OH
Enumeration date
07/10/2006
Last updated
10/09/2025
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