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General NPI Number Information
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NPI Number | 1437393634
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Entity Type | Organization
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Legal Business Name | ANNE L. ROSENBERG, M.D.
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 05/01/2009
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Provider Practice Location Address
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Address Line | 1100 WALNUT ST SUITE 303
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5563
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Country | US
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Telephone | 215-955-4909
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Fax | 856-488-8050
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Provider Business Mailing Address
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Address Line | 1100 WALNUT ST SUITE 303
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5563
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Country | US
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Telephone | 215-955-4909
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Fax | 856-488-8050
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANNE L ROSENBERG
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Credential |
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Telephone | 856-488-4224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD027789E
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License Number State | PA
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