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General NPI Number Information
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NPI Number | 1336123967
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Entity Type | Individual
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Provider Name | DAVID ROSENBERG M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 7861 STANZA STREET
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3254
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Country | US
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Telephone | 561-702-4429
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Fax |
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Provider Business Mailing Address
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Address Line | 7861 STANZA STREET
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3254
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Country | US
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Telephone | 561-320-2445
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME84408
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 050554
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License Number State | GA
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