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General NPI Number Information
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NPI Number | 1942498142
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Entity Type | Organization
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Legal Business Name | ROSALIND EPSTEIN MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 101 HOSPITAL LOOP NE SUITE 113
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2129
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Country | US
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Telephone | 505-881-6900
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Fax | 505-881-6111
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Provider Business Mailing Address
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Address Line | 101 HOSPITAL LOOP NE SUITE 113
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2129
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Country | US
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Telephone | 505-881-6900
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Fax | 505-881-6111
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSALIND G EPSTEIN
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Credential | MD
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Telephone | 505-881-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 89-190
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License Number State | NM
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