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General NPI Number Information
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NPI Number | 1356572085
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Entity Type | Organization
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Legal Business Name | ROSE'S GLOBAL ENTERPRISES LLC
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 2786 NW 104TH AVE BLD 179 APT 101
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City | SUNRISE
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State | FL
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Zip | 33322-1947
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Country | US
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Telephone | 954-749-9485
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Fax | 954-578-9193
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Provider Business Mailing Address
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Address Line | 2786 NW 104TH AVE BLD 179 APT 101
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City | SUNRISE
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State | FL
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Zip | 33322-1947
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Country | US
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Telephone | 954-749-9485
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Fax | 954-578-9193
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ROSALIE LILLIAN KERR
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Credential |
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Telephone | 954-749-9485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 230719
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License Number State | FL
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