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General NPI Number Information
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NPI Number | 1093975724
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Entity Type | Organization
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Legal Business Name | ROBERT ROSENBERG P.A.
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 12/12/2012
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Provider Practice Location Address
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Address Line | 250 S RONALD REAGAN BLVD SUITE 104
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City | LONGWOOD
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State | FL
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Zip | 32750-5466
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Country | US
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Telephone | 407-767-6466
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Fax | 407-767-2437
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Provider Business Mailing Address
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Address Line | 250 S RONALD REAGAN BLVD SUITE 104
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City | LONGWOOD
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State | FL
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Zip | 32750-5466
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Country | US
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Telephone | 407-767-6466
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Fax | 407-767-2437
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN/OWNER
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Name | DR. ROBERT ROSENBERG
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Credential | D.C.
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Telephone | 407-767-6466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH6255
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License Number State | FL
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