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General NPI Number Information
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NPI Number | 1295954865
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Entity Type | Organization
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Legal Business Name | TED M ROSNER DMD, PA
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 693 MAIN ST
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City | LUMBERTON
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State | NJ
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Zip | 08048-5043
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Country | US
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Telephone | 609-261-8200
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Fax | 609-261-8880
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Provider Business Mailing Address
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Address Line | PO BOX 98
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City | LUMBERTON
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State | NJ
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Zip | 08048-0098
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Country | US
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Telephone | 609-261-8200
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Fax | 609-261-8880
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TED M ROSNER
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Credential | DMD
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Telephone | 609-261-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 22DI01292101
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License Number State | NJ
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