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General NPI Number Information
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NPI Number | 1427535384
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Entity Type | Organization
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Legal Business Name | MICHAEL L. ROTHMAN, M.D., P.C.
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 2945 RODEO PARK DR E UNIT 6
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City | SANTA FE
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State | NM
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Zip | 87505-6312
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Country | US
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Telephone | 505-988-9783
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Fax | 505-988-5830
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Provider Business Mailing Address
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Address Line | PO BOX 22340
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City | SANTA FE
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State | NM
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Zip | 87502-2340
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Country | US
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Telephone | 505-988-9783
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Fax | 505-988-5830
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL L. ROTHMAN
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Credential | MD
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Telephone | 505-988-9783
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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 | 70-77
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License Number State | NM
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