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General NPI Number Information
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NPI Number | 1518245182
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Entity Type | Organization
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Legal Business Name | IRWIN I ROSENFELD MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/29/2011
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 23121 PLAZA POINTE DR STE 150
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1468
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Country | US
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Telephone | 949-837-7071
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Fax |
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Provider Business Mailing Address
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Address Line | 23121 PLAZA POINTE DR STE 150
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1468
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | IRWIN I ROSENFELD
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Credential |
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Telephone | 949-837-7071
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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 | G34731
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License Number State | CA
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