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General NPI Number Information
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NPI Number | 1245668789
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Entity Type | Individual
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Provider Name | JILLIAN ROSATI PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2013
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 321 S MAIN ST STE 214
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City | ANN ARBOR
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State | MI
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Zip | 48104-2126
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Country | US
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Telephone | 248-977-0524
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Fax |
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Provider Business Mailing Address
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Address Line | 321 S MAIN ST STE 214
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City | ANN ARBOR
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State | MI
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Zip | 48104-2126
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Country | US
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Telephone | 248-977-0524
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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 | 35SI00603500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 022859-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301018848
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License Number State | MI
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