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General NPI Number Information
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NPI Number | 1043359052
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Entity Type | Individual
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Provider Name | CARRIE E ROSENBERG MD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 01/19/2009
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Provider Practice Location Address
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Address Line | 1501 SAN PEDRO DR SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-5153
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Country | US
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Telephone | 505-265-1711
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Fax |
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Provider Business Mailing Address
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Address Line | 9809 SAND VERBENA TRL NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87122-3669
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Country | US
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Telephone | 505-217-3522
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Fax | 505-404-0484
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD2005-0614
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD00047093
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | N1867
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License Number State | TX
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