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General NPI Number Information
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NPI Number | 1386648350
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Entity Type | Individual
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Provider Name | GERALD ARTHUR ROSENBLUM MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5056 N CENTRAL AVE
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City | PHOENIX
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State | AZ
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Zip | 85012-1521
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Country | US
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Telephone | 602-222-9111
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Fax | 602-222-9333
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Provider Business Mailing Address
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Address Line | 6201 N 42ND ST
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-3962
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Country | US
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Telephone | 602-380-2817
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Fax | 602-224-5346
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 10268
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License Number State | AZ
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