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General NPI Number Information
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NPI Number | 1255655494
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Entity Type | Organization
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Legal Business Name | ASHLEY S. ROSEMAN, PHD, PLLC
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 03/17/2010
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Provider Practice Location Address
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Address Line | 4545 BISSONNET ST SUITE 200
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City | BELLAIRE
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State | TX
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Zip | 77401-3121
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Country | US
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Telephone | 713-429-5629
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Fax |
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Provider Business Mailing Address
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Address Line | 4413 LULA ST
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City | BELLAIRE
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State | TX
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Zip | 77401-5223
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Country | US
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Telephone | 832-203-7259
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ASHLEY S. ROSEMAN
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Credential | PHD
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Telephone | 713-429-5629
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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 | 33951
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License Number State | TX
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