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General NPI Number Information
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NPI Number | 1437240520
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Entity Type | Individual
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Provider Name | WILLIAM K ROSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 3525 S NATIONAL AVE STE 207
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City | SPRINGFIELD
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State | MO
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Zip | 65807-7315
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Country | US
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Telephone | 417-269-9220
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Fax | 417-269-9229
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Provider Business Mailing Address
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Address Line | PO BOX 802843
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City | KANSAS CITY
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State | MO
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Zip | 64180-2208
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Country | US
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Telephone | 417-269-5712
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Fax | 417-269-7567
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | R2A48
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License Number State | MO
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