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General NPI Number Information
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NPI Number | 1437110400
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Entity Type | Individual
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Provider Name | ROBERT D ROSENBERG MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 03/26/2023
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Provider Practice Location Address
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Address Line | 1225 W 190TH ST STE 280
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City | GARDENA
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State | CA
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Zip | 90248-4305
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Country | US
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Telephone | 310-515-8113
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Fax | 310-538-2102
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Provider Business Mailing Address
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Address Line | 3537 MESQUITE DR
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City | CALABASAS
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State | CA
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Zip | 91302-2073
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Country | US
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Telephone | 818-523-2540
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A43166
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License Number State | CA
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