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General NPI Number Information
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NPI Number | 1477176337
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Entity Type | Individual
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Provider Name | HALEY ISABEL ROSENBERG DDS
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Gender | Female
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Dates
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Enumeration Date | 05/26/2020
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 1476 DEER PARK AVE # 1200
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City | NORTH BABYLON
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State | NY
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Zip | 11703-1200
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Country | US
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Telephone | 631-254-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 10813 65TH RD
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City | FOREST HILLS
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State | NY
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Zip | 11375-1842
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Country | US
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Telephone | 718-683-2826
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 061904
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License Number State | NY
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