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General NPI Number Information
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NPI Number | 1295546174
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Entity Type | Organization
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Legal Business Name | ROSACARE MEDICAL AND BEHAVIORAL SERVICES LLC
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Dates
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Enumeration Date | 01/18/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 1014 DANBURY DR
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City | BOWIE
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State | MD
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Zip | 20721-3203
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Country | US
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Telephone | 407-479-0934
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 DANBURY DR
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City | BOWIE
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State | MD
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Zip | 20721-3203
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BILAL PARVEZ
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Credential |
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Telephone | 346-220-3534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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