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General NPI Number Information
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NPI Number | 1750673976
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Entity Type | Organization
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Legal Business Name | DR. DAVID ROSENTHAL, LPC, PLLC
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 8302 INDIANA AVE SUITE 11
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City | LUBBOCK
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State | TX
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Zip | 79423-2835
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Country | US
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Telephone | 806-799-3188
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Fax | 806-799-3190
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Provider Business Mailing Address
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Address Line | 8302 INDIANA AVE SUITE 11
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City | LUBBOCK
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State | TX
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Zip | 79423-2835
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Country | US
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Telephone | 806-799-3188
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Fax | 806-799-3190
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. DAVID B ROSENTHAL
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Credential | LPC
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Telephone | 806-799-3188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13447
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License Number State | TX
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