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General NPI Number Information
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NPI Number | 1295778835
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Entity Type | Individual
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Provider Name | CHARLENE JOAN ROSENFIELD ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 12/12/2014
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Provider Practice Location Address
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Address Line | 3782 TAMIAMI TRL SUITE A
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8308
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Country | US
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Telephone | 941-629-7855
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Fax | 941-629-9589
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Provider Business Mailing Address
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Address Line | PO BOX 496080
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City | PORT CHARLOTTE
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State | FL
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Zip | 33949-6080
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Country | US
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Telephone | 941-629-7855
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Fax | 941-629-9589
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP2935382
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License Number State | FL
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