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General NPI Number Information
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NPI Number | 1639497639
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Entity Type | Organization
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Legal Business Name | HAROLD N. ROSENGREN, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 1100 W GONZALES RD SUITE 102
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City | OXNARD
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State | CA
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Zip | 93036-3336
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Country | US
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Telephone | 805-983-0880
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Fax | 805-983-0408
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Provider Business Mailing Address
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Address Line | 1100 W GONZALES RD SUITE 102
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City | OXNARD
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State | CA
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Zip | 93036-3336
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Country | US
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Telephone | 805-983-0880
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Fax | 805-983-0408
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Authorized Official
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Title or Position | OWNER
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Name | HAROLD N. ROSENGREN JR.
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Credential | .D.M.
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Telephone | 805-983-0880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | G15538
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License Number State | CA
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