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NPI 1760588602

NPI 1760588602 : EUGENE M ROSENTHALL, DPM PC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1760588602
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    Entity Type          |    Organization 
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    Legal Business Name  |    EUGENE M ROSENTHALL, DPM PC 
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Dates
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    Enumeration Date     |    09/16/2006
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    Last Update Date     |    06/10/2008
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Provider Practice Location Address
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    Address Line         |    4500 E 9TH AVE SUITE 510
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80220-3900
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    Country              |    US
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    Telephone            |    303-333-6556
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    Fax                  |    303-333-2593
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Provider Business Mailing Address
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    Address Line         |    4500 E 9TH AVE SUITE 510
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80220-3900
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    Country              |    US
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    Telephone            |    303-333-6556
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    Fax                  |    303-333-2593
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. EUGENE MARK ROSENTHALL 
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    Credential           |    DPM
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    Telephone            |    303-333-6556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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