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General NPI Number Information
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NPI Number | 1821137225
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Entity Type | Individual
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Provider Name | MICHAEL M. ROTHKOPF MD
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 1500 PLEASANT VALLEY WAY STE 206
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City | WEST ORANGE
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State | NJ
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Zip | 07052-2956
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Country | US
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Telephone | 973-324-1200
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Fax | 973-689-3527
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Provider Business Mailing Address
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Address Line | 163 E MAIN ST # 158
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City | LITTLE FALLS
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State | NJ
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Zip | 07424-1711
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Country | US
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Telephone |
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 25MA03791900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 37919
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA03791900
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License Number State | NJ
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