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General NPI Number Information
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NPI Number | 1124400346
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Entity Type | Organization
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Legal Business Name | RACHEL ROSEN MD PC
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 605 BARNES AVE
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City | WESTMINSTER
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State | MD
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Zip | 21157-5954
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Country | US
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Telephone | 410-848-5625
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Fax |
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Provider Business Mailing Address
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Address Line | 7848 OLD YORK RD SUITE 200
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City | ELKINS PARK
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State | PA
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Zip | 19027-2541
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Country | US
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Telephone | 267-287-8892
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Fax | 267-287-8902
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Authorized Official
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Title or Position | OWNER
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Name | DR. RACHEL ROSEN
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Credential | M.D.
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Telephone | 267-287-8892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD072626L
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License Number State | PA
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