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General NPI Number Information
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NPI Number | 1902119324
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Entity Type | Organization
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Legal Business Name | ROBERT KENT ROSENBERG MD PA
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 3355 BURNS RD STE 207
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4353
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Country | US
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Telephone | 561-346-7097
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Fax | 561-835-1839
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Provider Business Mailing Address
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Address Line | PO BOX 706
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City | PALM BEACH
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State | FL
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Zip | 33480-0706
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Country | US
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Telephone | 561-346-7097
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Fax | 561-835-1839
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT KENT ROSENBERG
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Credential | MD
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Telephone | 561-346-7097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0016430
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License Number State | FL
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