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General NPI Number Information
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NPI Number | 1073881611
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Entity Type | Organization
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Legal Business Name | ROZENBERG'S FIRST STEPS
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Dates
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Enumeration Date | 12/10/2011
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Last Update Date | 12/10/2011
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Provider Practice Location Address
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Address Line | 20019 45TH AVE
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City | BAYSIDE
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State | NY
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Zip | 11361-3013
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Country | US
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Telephone | 917-821-4941
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Fax | 718-282-2623
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Provider Business Mailing Address
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Address Line | 20019 45TH AVE
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City | BAYSIDE
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State | NY
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Zip | 11361-3013
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Country | US
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Telephone | 917-821-4941
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SVETLANA ROZENBERG
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Credential | MS
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Telephone | 917-821-4941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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