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General NPI Number Information
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NPI Number | 1346827722
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Entity Type | Individual
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Provider Name | PATRICIA ROSENBERRY AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 130 LUBRANO DR STE 111
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7192
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Country | US
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Telephone | 410-974-8332
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Fax |
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Provider Business Mailing Address
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Address Line | 14995 SHADY GROVE RD STE 100
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City | ROCKVILLE
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State | MD
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Zip | 20850-8733
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Country | US
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Telephone | 301-869-7820
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Fax | 301-762-2541
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R173447
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | R173447
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License Number State | MD
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