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General NPI Number Information
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NPI Number | 1972835908
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Entity Type | Individual
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Provider Name | MICHAEL ADAM ROSENBLUM RPH
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Gender | Male
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 80 RED SCHOOLHOUSE RD 226
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City | CHESTNUT RIDGE
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State | NY
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Zip | 10977-7053
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Country | US
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Telephone | 845-371-8602
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Fax | 845-356-2552
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Provider Business Mailing Address
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Address Line | 6 EMERALD LN
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City | SUFFERN
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State | NY
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Zip | 10901-3214
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Country | US
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Telephone | 845-357-6147
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 040373
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 28RI02046800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | PS25336
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License Number State | FL
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