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General NPI Number Information
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NPI Number | 1700116621
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Entity Type | Organization
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Legal Business Name | STEPHEN R. ROSENTHAL MD PC
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Dates
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Enumeration Date | 12/29/2009
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Last Update Date | 02/26/2010
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Provider Practice Location Address
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Address Line | 10210 N 92ND ST SUITE 103
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4509
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Country | US
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Telephone | 480-661-4200
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Fax | 480-657-2825
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Provider Business Mailing Address
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Address Line | 10210 N 92ND ST SUITE 103
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4509
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Country | US
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Telephone | 480-661-4200
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Fax | 480-657-2825
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Authorized Official
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Title or Position | DOCTOR
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Name | MR. STEPEHN RRICHARD ROSENTHAL
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Credential | M.D.
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Telephone | 480-661-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0085820
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License Number State | AZ
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