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General NPI Number Information
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NPI Number | 1588894224
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Entity Type | Organization
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Legal Business Name | DEBORAH ROSENTHAL, M.D. P.C.
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 03/10/2010
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Provider Practice Location Address
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Address Line | 2691 HYLAN BLVD SUITE 3
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4300
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Country | US
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Telephone | 718-980-0067
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Fax | 718-980-3945
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Provider Business Mailing Address
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Address Line | 2691 HYLAN BLVD SUITE 3
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4300
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Country | US
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Telephone | 718-980-0067
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Fax | 718-980-3945
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEBORAH ROSENTHAL
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Credential | M.D.
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Telephone | 718-980-0067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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