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General NPI Number Information
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NPI Number | 1215157318
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Entity Type | Individual
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Provider Name | MICHAEL S ROSENGARTON DDS
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Gender | Male
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 7015 BERACASA WAY, SUITE 101
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City | BOCA RATON
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State | FL
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Zip | 33433
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Country | US
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Telephone | 561-368-4188
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Fax | 561-368-9748
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Provider Business Mailing Address
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Address Line | 7015 BERACASA WAY, SUITE 101
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City | BOCA RATON
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State | FL
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Zip | 33433
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Country | US
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Telephone | 561-368-4188
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Fax | 561-368-9748
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 8965
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License Number State | FL
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