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General NPI Number Information
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NPI Number | 1811312853
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Entity Type | Organization
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Legal Business Name | ERIC ROTHSTEIN DDS,PA.
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 1401 N UNIVERSITY DR SUITE 404
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-8910
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Country | US
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Telephone | 954-753-7999
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Fax | 954-753-8208
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Provider Business Mailing Address
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Address Line | 1401 N UNIVERSITY DR SUITE 404
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-8910
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Country | US
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Telephone | 954-753-7999
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Fax | 954-753-8208
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC BENNETT ROTHSTEIN
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Credential | DDS
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Telephone | 954-753-7999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 8971
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License Number State | FL
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