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General NPI Number Information
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NPI Number | 1730133075
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Entity Type | Organization
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Legal Business Name | RICHARD L. ROTHSTEIN, DMD,PA
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9485 SW 72ND ST SUITE A-100
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City | MIAMI
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State | FL
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Zip | 33173-3214
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Country | US
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Telephone | 305-598-3384
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Fax | 305-598-3675
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Provider Business Mailing Address
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Address Line | 9485 SW 72ND ST SUITE A-100
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City | MIAMI
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State | FL
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Zip | 33173-3242
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Country | US
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Telephone | 305-598-3384
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Fax | 305-598-3675
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LORI R ROTHSTEIN
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Credential | BA
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Telephone | 305-598-3384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 4771
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License Number State | FL
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