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General NPI Number Information
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NPI Number | 1144894304
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Entity Type | Individual
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Provider Name | ANNE ROSE AMBROISE
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Gender | Female
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 4800 N. SATE ROAD 7 SUITE F103
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319
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Country | US
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Telephone | 954-884-5859
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Fax | 754-206-2394
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Provider Business Mailing Address
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Address Line | 646 KATHY CT
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City | MARGATE
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State | FL
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Zip | 33068-2446
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Country | US
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Telephone | 954-254-9321
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | FL
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