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General NPI Number Information
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NPI Number | 1659668846
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Entity Type | Individual
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Provider Name | JEFFREY SCOTT ROSENMAN D.P.M., M.SC.B.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 303 HADDONFIELD BERLIN RD
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City | VOORHEES
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State | NJ
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Zip | 08043-1412
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Country | US
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Telephone | 856-429-5100
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Fax | 856-429-5800
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Provider Business Mailing Address
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Address Line | 303 HADDONFIELD BERLIN RD
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City | VOORHEES
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State | NJ
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Zip | 08043-1412
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Country | US
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Telephone | 856-429-5100
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Fax | 856-429-5800
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00322000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N/A
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License Number State | PA
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