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General NPI Number Information
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NPI Number | 1326566167
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Entity Type | Organization
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Legal Business Name | DAVID ROSENTHAL, DC, PA
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 08/31/2017
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Provider Practice Location Address
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Address Line | 3530 FOREST LN STE 104
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City | DALLAS
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State | TX
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Zip | 75234-7996
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Country | US
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Telephone | 214-350-9777
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Fax | 972-733-3112
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Provider Business Mailing Address
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Address Line | 3530 FOREST LN STE 104
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City | DALLAS
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State | TX
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Zip | 75234-7996
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Country | US
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Telephone | 214-350-9777
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Fax | 972-733-3112
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | DR. DAVID JOHN ROSENTHAL
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Credential | D.C
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Telephone | 214-350-9777
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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 | 009109
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License Number State | NY
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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 | 2276
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License Number State | MA
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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 | 10053
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License Number State | TX
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