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General NPI Number Information
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NPI Number | 1154672640
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Entity Type | Organization
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Legal Business Name | ARON LOUIS ROTMAN MD INC
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 5644 VINELAND AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2028
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Country | US
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Telephone | 818-980-0707
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Fax | 818-980-0701
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Provider Business Mailing Address
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Address Line | 5644-5646 VINELAND AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601
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Country | US
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Telephone | 818-980-0707
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Fax | 818-980-0701
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Authorized Official
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Title or Position | OWNER
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Name | ARON LOUIS ROTMAN
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Credential |
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Telephone | 818-980-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G73976
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License Number State | CA
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