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General NPI Number Information
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NPI Number | 1205937349
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Entity Type | Individual
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Provider Name | MARITES P DEL ROSARIO M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 1672 W AVENUE J STE 110
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City | LANCASTER
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State | CA
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Zip | 93534
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Country | US
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Telephone | 661-726-2826
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Fax | 661-723-9557
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Provider Business Mailing Address
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Address Line | PO BOX 6530
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City | LANCASTER
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State | CA
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Zip | 93539-6530
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Country | US
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Telephone | 661-726-2826
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Fax | 661-948-0432
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A53570
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License Number State | CA
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