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General NPI Number Information
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NPI Number | 1477539419
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Entity Type | Individual
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Provider Name | MICHAEL H ROTSTEIN DPM
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Gender | Male
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 2135 SW 19TH AVENUE RD SUITE #104
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City | OCALA
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State | FL
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Zip | 34471-7874
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Country | US
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Telephone | 352-867-1155
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Fax | 352-867-7030
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Provider Business Mailing Address
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Address Line | 2135 SW 19TH AVENUE RD SUITE #104
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City | OCALA
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State | FL
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Zip | 34474-0000
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Country | US
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Telephone | 352-867-1155
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Fax | 352-867-7030
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO0002144
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License Number State | FL
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