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General NPI Number Information
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NPI Number | 1073728556
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Entity Type | Individual
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Provider Name | GEORGE ROSENBERG M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 9149 ESTATE THOMAS, PARAGON MEDICAL BUILDING STE 103
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City | ST. THOMAS
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State | VI
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Zip | 00802
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Country | US
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Telephone | 340-774-0265
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Fax | 340-776-0228
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Provider Business Mailing Address
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Address Line | PO BOX 11839
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City | ST THOMAS
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State | VI
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Zip | 00801-4839
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Country | US
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Telephone | 340-774-0265
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Fax | 340-776-0228
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 745
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License Number State | VI
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