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General NPI Number Information
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NPI Number | 1194549717
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Entity Type | Individual
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Provider Name | ALLY ROSENBERG
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 16855 NE 2ND AVE STE 202
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1744
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Country | US
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Telephone | 305-770-0062
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Fax |
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Provider Business Mailing Address
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Address Line | 55 SW 9TH ST APT 3804
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City | MIAMI
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State | FL
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Zip | 33130-4514
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Country | US
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Telephone | 954-449-3470
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11036400
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License Number State | FL
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