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General NPI Number Information
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NPI Number | 1760915458
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Entity Type | Organization
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Legal Business Name | ROSETTA GENOMICS, INC
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 3711 MARKET ST STE 740
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5535
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Country | US
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Telephone | 949-587-7516
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Fax |
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Provider Business Mailing Address
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Address Line | 3711 MARKET ST STE 740
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5535
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Country | US
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Telephone | 949-587-7516
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Fax |
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Authorized Official
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Title or Position | BILLING ADMINSTRATOR
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Name | BRENDA HALL
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Credential |
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Telephone | 215-382-9002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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