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General NPI Number Information
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NPI Number | 1225187891
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Entity Type | Organization
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Legal Business Name | GUY ROSENSTIEL, DMD, PC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 1600 DEO DARA DR SUITE 2
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City | HOOVER
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State | AL
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Zip | 35226-3391
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Country | US
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Telephone | 205-979-8655
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Fax | 205-978-5169
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Provider Business Mailing Address
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Address Line | 1600 DEO DARA DR SUITE 2
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City | HOOVER
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State | AL
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Zip | 35226-3391
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Country | US
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Telephone | 205-979-8655
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Fax | 205-978-5169
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DONALD GUY ROSENSTIEL
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Credential | D.M.D.
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Telephone | 205-979-8655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4325
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License Number State | AL
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