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General NPI Number Information
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NPI Number | 1225144694
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Entity Type | Individual
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Provider Name | LEONARD ROSMARIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 18-15 FRANCIS LEWIS BLVD
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City | WHITESTONE
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State | NY
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Zip | 11357-3895
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Country | US
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Telephone | 718-746-5463
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Fax | 718-746-1967
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Provider Business Mailing Address
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Address Line | 18-15 FRANCIS LEWIS BLVD
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City | WHITESTONE
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State | NY
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Zip | 11357-3895
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Country | US
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Telephone | 718-746-5463
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Fax | 718-746-1967
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 131183
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License Number State | NY
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