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General NPI Number Information
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NPI Number | 1184650004
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Entity Type | Individual
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Provider Name | STANLEY ALAN ROSENTHAL D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 12/26/2017
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Provider Practice Location Address
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Address Line | 13801 BRUCE B DOWNS BLVD SUITE 301
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City | TAMPA
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State | FL
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Zip | 33613
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Country | US
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Telephone | 813-615-2313
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Fax | 813-978-8440
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Provider Business Mailing Address
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Address Line | 13801 BRUCE B DOWNS BLVD SUITE 301
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City | TAMPA
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State | FL
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Zip | 33613
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Country | US
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Telephone | 813-615-2313
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Fax | 813-978-8440
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | OS3389
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS3389
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License Number State | FL
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