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General NPI Number Information
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NPI Number | 1851434039
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Entity Type | Organization
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Legal Business Name | DR. ELTON P. ROSENBLATT,DDS FICCMO
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8000 SW 67TH AVE
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City | MIAMI
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State | FL
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Zip | 33143-7702
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Country | US
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Telephone | 305-666-8883
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Fax | 305-669-0542
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Provider Business Mailing Address
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Address Line | 8000 SW 67TH AVE
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City | MIAMI
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State | FL
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Zip | 33143-7702
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Country | US
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Telephone | 305-666-8883
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Fax | 305-669-0542
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Authorized Official
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Title or Position | OWNER
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Name | ELTON PAUL ROSENBLATT
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Credential | DDS
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Telephone | 305-666-8883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | DN0001029
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License Number State | FL
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