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General NPI Number Information
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NPI Number | 1225148422
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Entity Type | Individual
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Provider Name | EDWARD STEMMLER ROSENTHAL OD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 5478 W SAMPLE RD
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City | MARGATE
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State | FL
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Zip | 33073
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Country | US
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Telephone | 954-974-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 20283 HACIENDA CT
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City | BOCA RATON
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State | FL
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Zip | 33498-6602
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Country | US
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Telephone | 561-487-2102
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0000OPC1440
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License Number State | FL
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