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General NPI Number Information
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NPI Number | 1740259563
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Entity Type | Individual
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Provider Name | SETH ALAN ROSEN MD
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Gender | Male
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 6335 HOSPITAL PKWY STE 110
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City | JOHNS CREEK
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State | GA
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Zip | 30097-1550
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Country | US
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Telephone | 404-778-3307
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Fax | 770-813-4654
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Provider Business Mailing Address
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Address Line | 6335 HOSPITAL PKWY STE 110
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City | JOHNS CREEK
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State | GA
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Zip | 30097-1550
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Country | US
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Telephone | 404-778-3307
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Fax | 770-813-4654
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 051269
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 51269
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License Number State | GA
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