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General NPI Number Information
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NPI Number | 1184987026
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Entity Type | Individual
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Provider Name | JUANA J ROSARIO SC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 137 STANLEY AVE
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City | YONKERS
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State | NY
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Zip | 10705-1142
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Country | US
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Telephone | 134-727-1577
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Fax | 191-420-7872
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Provider Business Mailing Address
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Address Line | PO BOX 237
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City | BRONX
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State | NY
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Zip | 10463-0237
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Country | US
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Telephone | 347-271-5772
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Fax | 191-420-7872
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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 | 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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