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General NPI Number Information
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NPI Number | 1730253816
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Entity Type | Organization
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Legal Business Name | MARIO ROSENBERG MD INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 9001 WILSHIRE BLVD SUITE 100
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1838
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Country | US
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Telephone | 310-666-0840
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Fax | 310-275-4334
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Provider Business Mailing Address
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Address Line | PO BOX 16402
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City | BEVERLY HILLS
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State | CA
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Zip | 90209-2402
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Country | US
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Telephone | 310-666-0840
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Fax | 310-275-4334
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIO Z ROSENBERG
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Credential | MD
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Telephone | 310-666-0840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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