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General NPI Number Information
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NPI Number | 1811009541
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Entity Type | Individual
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Provider Name | ALLEN HOWARD ROSENTHAL DDS
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3836 N UNIVERSITY DR
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City | SUNRISE
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State | FL
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Zip | 33351-6300
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Country | US
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Telephone | 954-742-2577
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Fax | 954-742-2884
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Provider Business Mailing Address
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Address Line | 5931 NW 61ST MNR
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City | PARKLAND
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State | FL
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Zip | 33067-4413
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Country | US
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Telephone | 954-345-4368
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Fax | 954-742-2884
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7953
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License Number State | FL
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