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General NPI Number Information
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NPI Number | 1154909232
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Entity Type | Individual
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Provider Name | SAMUEL T ROSENBACH DPT
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Gender | Male
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 16 ALDRIN RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-4804
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Country | US
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Telephone | 508-728-8727
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Fax | 305-595-8492
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Provider Business Mailing Address
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Address Line | 16 ALDRIN RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-4804
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Country | US
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Telephone | 508-728-8727
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Fax | 305-595-8492
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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 | PT36970
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT26182
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License Number State | MA
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