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General NPI Number Information
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NPI Number | 1114360310
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Entity Type | Individual
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Provider Name | DAVID ROSENBERG PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 10/27/2019
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Provider Practice Location Address
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Address Line | 16 GLADYS DR
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City | SPRING VALLEY
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State | NY
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Zip | 10977-6025
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Country | US
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Telephone | 845-517-9782
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Fax |
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Provider Business Mailing Address
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Address Line | 27 ELLISH PKWY
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City | SPRING VALLEY
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State | NY
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Zip | 10977-3810
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Country | US
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Telephone | 845-517-9782
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Fax | 718-298-3109
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 38127
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License Number State | NY
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