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General NPI Number Information
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NPI Number | 1346760543
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Entity Type | Individual
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Provider Name | DANIEL ROSE
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Gender | Male
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 971 ROUTE 45 STE 106
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City | POMONA
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State | NY
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Zip | 10970-3529
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Country | US
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Telephone | 845-367-1139
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Fax |
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Provider Business Mailing Address
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Address Line | 971 ROUTE 45 STE 106
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City | POMONA
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State | NY
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Zip | 10970-3529
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Country | US
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Telephone | 845-367-1139
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 005968-1
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License Number State | NY
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