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NPI 1972575603

NPI 1972575603 : DR. TOVE ROSEN : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1972575603
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    Entity Type          |    Individual 
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    Provider Name        |    DR. TOVE ROSEN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/06/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3959 BROADWAY COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10032-1559
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    Country              |    US
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    Telephone            |    212-304-7250
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    Fax                  |    212-544-1974
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Provider Business Mailing Address
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    Address Line         |    25 E 86TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10028-0553
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    Country              |    US
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    Telephone            |    212-722-5643
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    Fax                  |    
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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        |    2080N0001X
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    Taxonomy Name        |    Neonatal-Perinatal Medicine Physician
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    License Number       |    097134
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    License Number State |    NY
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