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General NPI Number Information
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NPI Number | 1043381643
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Entity Type | Organization
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Legal Business Name | HAL ROSENBERG LTD
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7818 BIG SKY DR SUITE 207
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City | MADISON
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State | WI
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Zip | 53719-3524
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Country | US
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Telephone | 608-833-4990
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Fax | 608-826-9019
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Provider Business Mailing Address
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Address Line | 7818 BIG SKY DR SUITE 207
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City | MADISON
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State | WI
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Zip | 53719-3524
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Country | US
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Telephone | 608-833-4990
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Fax | 608-826-9019
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MR. HAL J ROSENBERG
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Credential | LICSW,MSSW,MASC,ACSW
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Telephone | 608-833-4990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 934
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License Number State | WI
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