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General NPI Number Information
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NPI Number | 1376871996
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Entity Type | Organization
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Legal Business Name | ALAN A. ROSEN, M.D., P.A.
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2411 W. BELVEDERE AVENUE SUITE 306
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City | BALTIMORE
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State | MD
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Zip | 21215
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Country | US
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Telephone | 410-601-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 2411 W. BELVEDERE AVENUE SUITE 306
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City | BALTIMORE
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State | MD
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Zip | 21215
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Country | US
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Telephone | 410-601-8255
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Fax |
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Authorized Official
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Title or Position | C.E.O
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Name | DR. ALAN A. ROSEN
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Credential | D.O
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Telephone | 410-601-8255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | ME
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