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General NPI Number Information
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NPI Number | 1568423135
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Entity Type | Individual
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Provider Name | CRAIG H ROSEN M.D.,
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 603 N. BROAD ST.
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City | WOODBURY
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State | NJ
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Zip | 08096-1619
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Country | US
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Telephone | 856-848-3500
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Fax | 858-848-1008
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Provider Business Mailing Address
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Address Line | 603 N BROAD ST
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City | WOODBURY
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State | NJ
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Zip | 08096-1619
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Country | US
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Telephone | 856-848-3500
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Fax | 858-848-1008
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA043710
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License Number State | NJ
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