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General NPI Number Information
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NPI Number | 1649314097
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Entity Type | Individual
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Provider Name | SETH RICHARD ROSENWALD DO
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 258 S STATE ST
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City | NEWTOWN
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State | PA
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Zip | 18940-1946
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Country | US
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Telephone | 215-860-2125
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Fax | 215-321-4419
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Provider Business Mailing Address
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Address Line | 401 CRABAPPLE LN
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City | YARDLEY
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State | PA
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Zip | 19067-4587
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Country | US
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Telephone | 215-321-4165
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Fax | 215-321-4419
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS005715L
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License Number State | PA
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