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General NPI Number Information
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NPI Number | 1437217122
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Entity Type | Individual
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Provider Name | JOHN A. ROSENFIELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1201 US HIGHWAY 23 N SUITE E
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City | DELAWARE
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State | OH
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Zip | 43015-8960
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Country | US
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Telephone | 740-363-5755
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Fax | 740-363-3117
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Provider Business Mailing Address
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Address Line | 1201 US HIGHWAY 23 N SUITE E
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City | DELAWARE
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State | OH
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Zip | 43015-8960
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Country | US
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Telephone | 740-363-5755
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Fax | 740-363-3117
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35-04-4856-R
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License Number State | OH
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