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General NPI Number Information
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NPI Number | 1114163276
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Entity Type | Individual
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Provider Name | DIANE M ROSSETTI RN
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Gender | Female
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Dates
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Enumeration Date | 12/19/2008
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Last Update Date | 12/19/2008
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Provider Practice Location Address
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Address Line | 18 GREENKILL AVE
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City | KINGSTON
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State | NY
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Zip | 12401
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Country | US
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Telephone | 845-339-6683
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Fax |
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Provider Business Mailing Address
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Address Line | 19 E MARKET ST APT 2
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City | RED HOOK
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State | NY
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Zip | 12571-1433
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Country | US
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Telephone | 845-835-8219
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 574978-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN 9269049
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License Number State | FL
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