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General NPI Number Information
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NPI Number | 1659855591
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Entity Type | Organization
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Legal Business Name | DANIEL ROZEN DMD PA
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 09/17/2018
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Provider Practice Location Address
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Address Line | 2323 NE 26TH AVE STE 107
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1147
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Country | US
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Telephone | 954-719-1755
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Fax | 954-719-7978
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Provider Business Mailing Address
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Address Line | 2323 NE 26TH AVE STE 107
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1147
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Country | US
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Telephone | 954-719-1755
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Fax | 954-719-7978
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL ROZEN
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Credential | DMD
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Telephone | 954-818-1734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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