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General NPI Number Information
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NPI Number | 1134458474
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Entity Type | Individual
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Provider Name | REBECCA ANN ROSENTHAL D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 202 SUMMIT STREET
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City | GALENA
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State | IL
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Zip | 61036
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Country | US
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Telephone | 815-776-0595
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Fax | 815-776-0595
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Provider Business Mailing Address
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Address Line | 202 SUMMIT STREET
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City | GALENA
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State | IL
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Zip | 61036
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Country | US
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Telephone | 815-776-0595
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Fax | 815-776-0595
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 007243
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4551012
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038011927
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License Number State | IL
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