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General NPI Number Information
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NPI Number | 1902808884
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Entity Type | Individual
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Provider Name | ROBERT S ROSENBERG D.O., F.C.C.P.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 3259 N WINDSONG DR STE A
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-1222
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Country | US
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Telephone | 928-772-6422
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Fax | 928-772-6425
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Provider Business Mailing Address
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Address Line | 3259 N WINDSONG DR STE A
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-1222
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Country | US
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Telephone | 928-772-6422
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Fax | 928-772-6425
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 1893
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 1893
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License Number State | AZ
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