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General NPI Number Information
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NPI Number | 1164722575
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Entity Type | Individual
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Provider Name | MR. PAUL ROSENBLUM
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Gender | Male
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 09/09/2012
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Provider Practice Location Address
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Address Line | 2416 S MAIN ST UNIT B
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City | SANTA ANA
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State | CA
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Zip | 92707-3255
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Country | US
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Telephone | 714-966-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 822 W TOWN AND COUNTRY RD
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City | ORANGE
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State | CA
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Zip | 92868-4712
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Country | US
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Telephone | 714-547-7559
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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