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General NPI Number Information
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NPI Number | 1669806667
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Entity Type | Individual
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Provider Name | RICARDO TOMAS ROSENKRANZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 1200 N LAKE SHORE DR APT. 904
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City | CHICAGO
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State | IL
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Zip | 60610-2370
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Country | US
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Telephone | 312-927-0180
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Fax | 312-896-1592
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Provider Business Mailing Address
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Address Line | 1200 N LAKE SHORE DR APT. 904
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City | CHICAGO
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State | IL
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Zip | 60610-2370
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Country | US
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Telephone | 312-927-0180
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Fax | 312-896-1592
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 036.088169
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License Number State | IL
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