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General NPI Number Information
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NPI Number | 1205748498
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Entity Type | Individual
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Provider Name | AZALIA ROSSER
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 560 ROYAL PALM BEACH BLVD FL 33411
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-7677
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Country | US
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Telephone | 561-816-1025
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 TALLAHASSEE DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6159
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Country | US
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Telephone | 561-358-7970
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA20553
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License Number State | FL
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