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General NPI Number Information
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NPI Number | 1033132410
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Entity Type | Organization
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Legal Business Name | JF ROSENWALD DDS PS
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 1515 116TH AVE NE SUITE 305
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City | BELLEVUE
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State | WA
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Zip | 98004-3811
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Country | US
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Telephone | 425-454-4040
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Fax | 425-454-4497
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Provider Business Mailing Address
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Address Line | 1515 116TH AVE NE SUITE 305
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City | BELLEVUE
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State | WA
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Zip | 98004-3811
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Country | US
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Telephone | 425-454-4040
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Fax | 425-454-4497
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JAMES F ROSENWALD
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Credential | DDS
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Telephone | 425-454-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3733
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License Number State | WA
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