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General NPI Number Information
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NPI Number | 1134455959
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Entity Type | Organization
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Legal Business Name | DAVID L. ROTHMAN DDS. P.C.
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 2301 OCEAN AVENUE
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City | SAN FRANCISCO
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State | CA
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Zip | 94127
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Country | US
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Telephone | 415-333-6811
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Fax | 415-333-6813
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Provider Business Mailing Address
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Address Line | 2301 OCEAN AVENUE
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City | SAN FRANCISCO
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State | CA
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Zip | 94127
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Country | US
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Telephone | 415-333-6811
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Fax | 415-333-6813
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID L. ROTHMAN
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Credential | D.D.S.
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Telephone | 415-333-6811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 32171
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License Number State | CA
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