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General NPI Number Information
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NPI Number | 1962641563
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Entity Type | Organization
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Legal Business Name | ROSETTA GENOMICS, INC.
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 3711 MARKET ST SUITE 740
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5504
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Country | US
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Telephone | 215-382-9000
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Fax | 215-382-0815
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Provider Business Mailing Address
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Address Line | PO BOX 11979
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City | NEWARK
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State | NJ
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Zip | 07101-4979
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Country | US
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Telephone | 888-522-7971
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Fax | 215-382-0815
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Authorized Official
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Title or Position | CEO
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Name | MR. KEN BERLIN
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Credential |
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Telephone | 888-522-7971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 030877
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License Number State | PA
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