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General NPI Number Information
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NPI Number | 1629129606
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Entity Type | Individual
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Provider Name | AXEL ROSENGART MD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 3838 SAN DIMAS ST STE A140
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1151
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Country | US
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Telephone | 661-632-7126
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 976
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City | BAKERSFIELD
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State | CA
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Zip | 93302-0976
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Country | US
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Telephone |
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Fax | 570-271-6578
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036103565
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 18104
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MTL-2024-011
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License Number State | GU
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | M-2437
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License Number State | GU
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