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General NPI Number Information
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NPI Number | 1912224221
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Entity Type | Organization
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Legal Business Name | RON ROSEN, M.D., INC
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 2211 MOORPARK AVE SUITE 220
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City | SAN JOSE
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State | CA
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Zip | 95128-2654
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Country | US
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Telephone | 408-515-4483
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 MOORPARK AVE SUITE 220
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City | SAN JOSE
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State | CA
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Zip | 95128-2654
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Country | US
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Telephone | 408-515-4483
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RON SHALOM ROSEN
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Credential | M.D.
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Telephone | 408-515-4483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number | A96556
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License Number State | CA
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