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General NPI Number Information
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NPI Number | 1003528894
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Entity Type | Individual
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Provider Name | RENEE ROSADO LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/23/2022
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 140 NE 4TH AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33483-4570
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Country | US
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Telephone | 561-808-7986
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Fax |
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Provider Business Mailing Address
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Address Line | 11420 NW 30TH PL
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City | SUNRISE
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State | FL
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Zip | 33323-1628
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Country | US
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Telephone | 954-804-8007
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH21603
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License Number State | FL
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