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General NPI Number Information
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NPI Number | 1225275209
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Entity Type | Individual
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Provider Name | KRISTI ROSKE APRN
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Gender | Female
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 1553 US HIGHWAY 1
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City | VERO BEACH
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State | FL
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Zip | 32960-5735
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Country | US
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Telephone | 772-257-8224
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Fax | 772-213-3157
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Provider Business Mailing Address
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Address Line | 1545 9TH ST SW
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City | VERO BEACH
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State | FL
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Zip | 32962-4312
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Country | US
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Telephone | 772-257-8224
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Fax | 772-213-3157
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN922328
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License Number State | FL
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