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General NPI Number Information
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NPI Number | 1043524713
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Entity Type | Individual
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Provider Name | CHAD ANTHONY ROSENTHAL FNP
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Gender | Male
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 2401 GILLHAM RD
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City | KANSAS CITY
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State | MO
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Zip | 64108-4619
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Country | US
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Telephone | 866-599-6834
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Fax |
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Provider Business Mailing Address
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Address Line | 4114 NW PLATTE BROOKE DR
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City | KANSAS CITY
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State | MO
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Zip | 64151-4200
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Country | US
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Telephone | 816-769-2554
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5375290081
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2010026853
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License Number State | MO
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