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General NPI Number Information
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NPI Number | 1376708172
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Entity Type | Organization
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Legal Business Name | ROBERT K ROSENTHAL MD PC
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 319 LONGWOOD AVE
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City | BOSTON
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State | MA
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Zip | 02115-5728
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Country | US
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Telephone | 617-355-6768
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55849
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City | BOSTON
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State | MA
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Zip | 02205-5849
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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. ROBERT K ROSENTHAL
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Credential | MD
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Telephone | 617-355-6768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 29230
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License Number State | MA
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