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General NPI Number Information
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NPI Number | 1174647937
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Entity Type | Individual
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Provider Name | MORTON J ROSENBERG RPH
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2848 W LEHIGH AVE
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City | PHILA
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State | PA
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Zip | 19132-3130
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Country | US
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Telephone | 215-228-7177
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Fax |
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Provider Business Mailing Address
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Address Line | 3220 AYR LN
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City | DRESHER
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State | PA
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Zip | 19025-1604
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP024044L
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License Number State | PA
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