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General NPI Number Information
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NPI Number | 1255652608
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Entity Type | Organization
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Legal Business Name | DANIEL F ROSES MD PC
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 530 1ST AVE # 6B
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 212-263-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 530 1ST AVE # 6B
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL F ROSES
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Credential | M.D.
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Telephone | 212-263-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 106908
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License Number State | NY
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