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General NPI Number Information
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NPI Number | 1720018187
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Entity Type | Organization
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Legal Business Name | BARRY ROSENBERG, M.D., P.C.
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 127 NORTH ST
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City | BATAVIA
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State | NY
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Zip | 14020-1631
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Country | US
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Telephone | 585-344-5225
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Fax | 716-692-4342
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Provider Business Mailing Address
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Address Line | PO BOX 8000 DEPT. 679
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City | BUFFALO
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State | NY
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Zip | 14267-0002
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Country | US
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Telephone | 716-692-3302
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Fax | 716-692-4342
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Authorized Official
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Title or Position | OWNER
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Name | BARRY ROSENBERG
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Credential | MD
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Telephone | 585-344-5225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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