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General NPI Number Information
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NPI Number | 1336286855
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Entity Type | Organization
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Legal Business Name | BARRY N ROSENBAUM MD PA
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 2ND FLOOR 3720 FARRAGUT AVENUE
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City | KENSINGTON
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State | MD
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Zip | 20895-2110
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Country | US
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Telephone | 301-949-8013
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Fax | 301-949-8041
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Provider Business Mailing Address
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Address Line | 2ND FLOOR 3720 FARRAGUT AVENUE
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City | KENSINGTON
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State | MD
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Zip | 20895-2110
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Country | US
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Telephone | 301-949-8013
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Fax | 301-949-8041
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Authorized Official
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Title or Position | OFC/BILLING MGR
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Name | PATRICIA ARELLANO
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Credential |
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Telephone | 301-949-8013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | D09834
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License Number State | MD
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