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NPI Code Detail

MEDICARE: ANNA ROSENBLATT

MEDICARE: ANNA ROSENBLATT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1932554284
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA ROSENBLATT
Provider Business Mailing Address
First Line : 3625 AMHERST AVE
Second Line :
City : DALLAS
State : TX
Zip : 75225-7422
Country : US
Telephone Number : 214-801-1341
Fax Number :
Provider Business Practice Location Address
First Line : 251 E HURON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2908
Country : US
Telephone Number : 214-801-1341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2016
Last Update Date : 04/24/2016

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