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General NPI Number Information
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NPI Number | 1225245673
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Entity Type | Individual
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Provider Name | MICHAEL AARIC ROSENBAUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 10701 EAST BLVD SURGERY 112(W)
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-791-3800
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Fax | 216-229-2363
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Provider Business Mailing Address
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Address Line | 10701 EAST BLVD. SURGERY 112(W)
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-225-6237
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Fax | 216-229-2363
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.091615
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 35.091615
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License Number State | OH
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