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General NPI Number Information
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NPI Number | 1205785243
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Entity Type | Individual
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Provider Name | DINA DAMARIS ROSARIO
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Gender | Female
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 3351 MARINATOWN LN STE 200
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-7000
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Country | US
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Telephone | 239-257-1088
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Fax | 877-307-2352
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Provider Business Mailing Address
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Address Line | 1814 NW 6TH AVE
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City | CAPE CORAL
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State | FL
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Zip | 33993-5142
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-503959
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License Number State | FL
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