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General NPI Number Information
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NPI Number | 1821069451
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Entity Type | Individual
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Provider Name | STEPHEN HARRIS ROSENTHAL MD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 67 UNION ST #403
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City | NATICK
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State | MA
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Zip | 01760
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Country | US
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Telephone | 508-653-5047
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Fax | 508-653-5045
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Provider Business Mailing Address
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Address Line | 34 ROSCOE ST
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City | NEEDHAM
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State | MA
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Zip | 02494
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Country | US
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Telephone | 508-653-5047
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Fax | 508-653-6045
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 52615
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License Number State | MA
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