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General NPI Number Information
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NPI Number | 1316283948
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Entity Type | Individual
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Provider Name | MARK ROSENBERG PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/31/2012
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 4733 E PALM CANYON DR
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City | PALM SPRINGS
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State | CA
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Zip | 92264-5219
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Country | US
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Telephone | 760-324-8269
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Fax |
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Provider Business Mailing Address
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Address Line | 1611 SPRING GATE LN # 370784
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City | LAS VEGAS
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State | NV
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Zip | 89134-6201
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Country | US
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Telephone | 205-482-4129
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17347
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20847
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License Number State | NV
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