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General NPI Number Information
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NPI Number | 1013959097
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Entity Type | Individual
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Provider Name | DAVID A ROSENBERG M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 10941 BLOOMFIELD ST STE A
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-6702
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Country | US
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Telephone | 562-598-7780
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Fax | 562-598-2283
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Provider Business Mailing Address
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Address Line | PO BOX 4170
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City | SEAL BEACH
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State | CA
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Zip | 90740-8170
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Country | US
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Telephone | 562-598-7780
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Fax | 562-598-2283
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G42241
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License Number State | CA
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