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General NPI Number Information
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NPI Number | 1487538815
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Entity Type | Organization
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Legal Business Name | MICHAEL ROSEN DMD AZ, PLLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 230 S 12TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85007-3101
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Country | US
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Telephone | 602-362-0744
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Fax |
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Provider Business Mailing Address
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Address Line | 6447 E JEAN DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3965
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Country | US
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Telephone | 818-903-1059
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL DAVID ROSEN
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Credential | DMD, MPH, MS
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Telephone | 818-903-1059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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