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General NPI Number Information
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NPI Number | 1437328523
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Entity Type | Organization
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Legal Business Name | IRA ROSENSHEIN MD PHD LLC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 4 SHERIDAN RD
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City | CHARLESTON
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State | SC
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Zip | 29407-7444
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Country | US
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Telephone | 843-408-4709
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Fax | 843-795-8755
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Provider Business Mailing Address
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Address Line | 4 SHERIDAN RD
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City | CHARLESTON
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State | SC
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Zip | 29407-7444
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Country | US
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Telephone | 843-408-4709
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Fax | 843-795-8755
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Authorized Official
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Title or Position | OWNER
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Name | DR. IRA L ROSENSHEIN
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Credential | MD, PHD
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Telephone | 843-408-4709
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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 |
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License Number State |
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