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General NPI Number Information
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NPI Number | 1164330312
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Entity Type | Individual
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Provider Name | CRISTIAN RAFAEL ROSADO HHA
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Gender | Male
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Dates
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Enumeration Date | 08/29/2026
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 536 MONOCACY TRL
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City | SPRING GROVE
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State | PA
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Zip | 17362-1512
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Country | US
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Telephone | 347-873-0736
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Fax |
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Provider Business Mailing Address
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Address Line | 2825 GRAND CONCOURSE APT 1H
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City | BRONX
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State | NY
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Zip | 10468-1907
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Country | US
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Telephone | 914-446-5578
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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