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General NPI Number Information
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NPI Number | 1699341222
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Entity Type | Organization
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Legal Business Name | MARC J. ROSENBLATT, D.O., P.C.
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 873 N MAIN ST # 102
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City | SPRING VALLEY
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State | NY
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Zip | 10977-1905
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Country | US
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Telephone | 845-521-1542
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Fax |
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Provider Business Mailing Address
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Address Line | 983 HAVERSTRAW RD
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City | SUFFERN
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State | NY
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Zip | 10901-2200
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Country | US
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Telephone | 845-825-6383
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARC J ROSENBLATT
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Credential | DO
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Telephone | 845-825-6383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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