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General NPI Number Information
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NPI Number | 1215168323
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Entity Type | Individual
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Provider Name | ROSARIO MORILLO FALERO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 310 PROSPECT PL
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City | ALPHARETTA
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State | GA
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Zip | 30005-5467
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Country | US
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Telephone | 770-754-1182
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Fax |
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Provider Business Mailing Address
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Address Line | 703 CASWYCK TRCE
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City | ALPHARETTA
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State | GA
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Zip | 30022-4549
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Country | US
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Telephone | 857-334-6348
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY003521
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License Number State | GA
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