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General NPI Number Information
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NPI Number | 1154292258
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Entity Type | Organization
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Legal Business Name | ROSE
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Dates
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Enumeration Date | 09/13/2025
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 2415 VALDEZ ST UNIT 305
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City | OAKLAND
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State | CA
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Zip | 94612-3607
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Country | US
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Telephone | 415-704-1568
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Fax | 415-704-1570
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Provider Business Mailing Address
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Address Line | 28 GEARY ST STE 650
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-5700
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Country | US
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Telephone | 415-704-1568
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Fax | 415-704-1570
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Authorized Official
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Title or Position | CEO
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Name | JEMAL TAYLOR
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Credential |
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Telephone | 510-688-9757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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