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General NPI Number Information
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NPI Number | 1356985022
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Entity Type | Organization
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Legal Business Name | ROSI GIMENO THERAPY, LLC
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 11011 SHERIDAN ST STE 211
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City | HOLLYWOOD
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State | FL
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Zip | 33026-1531
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Country | US
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Telephone | 954-861-0164
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Fax |
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Provider Business Mailing Address
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Address Line | 557 SLIPPERY ROCK RD
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City | WESTON
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State | FL
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Zip | 33327-1213
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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 | CEO
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Name | ROSI GIMENO
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Credential | LMHC
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Telephone | 954-861-0164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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