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General NPI Number Information
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NPI Number | 1316474307
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Entity Type | Organization
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Legal Business Name | ROSENBERG HEALTH SERVICES LLC
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 05/22/2017
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Provider Practice Location Address
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Address Line | 1145 19TH ST NW STE 610
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City | WASHINGTON
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State | DC
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Zip | 20036-3665
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Country | US
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Telephone | 732-996-3463
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Fax |
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Provider Business Mailing Address
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Address Line | 423 MOUNT VERNON AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22301-2233
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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. JASON DAVID ROSENBERG
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Credential | DC
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Telephone | 732-996-3463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | S03741
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104557337
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH030165
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License Number State | DC
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