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General NPI Number Information
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NPI Number | 1144667650
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Entity Type | Organization
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Legal Business Name | ROSEN GRANDON ASSOCIATES INC
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 3106 EDGEWATER DR
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City | GREENSBORO
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State | NC
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Zip | 27403-1054
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Country | US
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Telephone | 336-292-2116
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Fax | 336-292-2162
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Provider Business Mailing Address
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Address Line | 3106 EDGEWATER DR
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City | GREENSBORO
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State | NC
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Zip | 27403-1054
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Country | US
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Telephone | 336-292-2116
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Fax | 336-292-2162
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Authorized Official
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Title or Position | TREASURER
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Name | DR. JANE R ROSEN-GRANDON
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Credential | PH.D.
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Telephone | 336-292-2116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCS2299
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 423
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License Number State | NC
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