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General NPI Number Information
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NPI Number | 1184621344
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Entity Type | Individual
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Provider Name | STEPHEN P. ROSENFELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2005
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 4825 MARK CENTER DR STE 150
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City | ALEXANDRIA
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State | VA
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Zip | 22311-1846
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Country | US
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Telephone | 703-751-8111
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Fax | 703-751-1105
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Provider Business Mailing Address
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Address Line | 2901 TELESTAR CT. #300
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1263
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Country | US
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Telephone | 703-591-1688
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Fax | 703-591-1445
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101033091
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101033091
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License Number State | VA
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