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General NPI Number Information
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NPI Number | 1114616364
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Entity Type | Individual
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Provider Name | LASHAUN D ROSEBOROUGH
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Gender | Female
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Dates
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Enumeration Date | 05/03/2023
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 1251 STAFFORD ST STE B
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City | MONROE
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State | NC
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Zip | 28110-3350
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Country | US
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Telephone | 980-425-7917
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 STAFFORD ST STE B
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City | MONROE
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State | NC
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Zip | 28110-3350
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Country | US
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Telephone | 980-425-7917
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | HC6981
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC6981
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC6981
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | HC6981
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | HC6981
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | HC6981
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HC6981
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License Number State | NC
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