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General NPI Number Information
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NPI Number | 1083573109
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Entity Type | Individual
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Provider Name | DESIREE ROSAS
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 3939 ATLANTIC AVE STE 102
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City | LONG BEACH
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State | CA
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Zip | 90807-3535
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Country | US
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Telephone | 562-471-7710
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Fax |
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Provider Business Mailing Address
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Address Line | 7609 1/2 BELL AVE
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City | LOS ANGELES
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State | CA
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Zip | 90001-2750
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Country | US
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Telephone | 323-610-0630
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Fax | 323-610-0630
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | CA
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