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General NPI Number Information
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NPI Number | 1770756827
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Entity Type | Individual
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Provider Name | MELVIN K ROSEMAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 2484 N ELSTON AVE
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City | CHICAGO
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State | IL
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Zip | 60647-2002
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Country | US
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Telephone | 773-278-4403
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Fax | 773-489-6986
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Provider Business Mailing Address
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Address Line | PO BOX 806
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-0806
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Country | US
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Telephone | 773-248-6700
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Fax | 847-432-1963
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 036049258
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License Number State | IL
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