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General NPI Number Information
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NPI Number | 1740497171
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Entity Type | Organization
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Legal Business Name | MARSHAL ROSAIO MD, A MEDICAL CORP
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 15899 LOS GATOS ALMADEN RD SUITE 1
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City | LOS GATOS
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State | CA
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Zip | 95032-3739
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Country | US
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Telephone | 408-358-0838
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Fax | 408-358-2160
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Provider Business Mailing Address
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Address Line | 15899 LOS GATOS ALMADEN RD SUITE 1
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City | LOS GATOS
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State | CA
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Zip | 95032-3739
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Country | US
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Telephone | 408-358-0838
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Fax | 408-358-2160
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARSHAL DEL ROSARIO
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Credential | M.D.
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Telephone | 408-358-0838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | G37569
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License Number State | CA
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