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General NPI Number Information
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NPI Number | 1770635583
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Entity Type | Individual
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Provider Name | KENNETH ROSENBLATT D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8221 GLADES RD STE 202
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City | BOCA RATON
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State | FL
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Zip | 33434-4033
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Country | US
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Telephone | 561-482-9640
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Fax |
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Provider Business Mailing Address
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Address Line | 7926 TENNYSON CT
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City | BOCA RATON
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State | FL
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Zip | 33433-4144
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Country | US
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Telephone | 561-482-9640
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHOOO3914
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License Number State | FL
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