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General NPI Number Information
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NPI Number | 1366025637
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Entity Type | Individual
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Provider Name | EDELI ROSELL
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Gender | Female
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 224 NW 20TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-3117
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Country | US
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Telephone | 786-355-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 224 NW 20TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-3117
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Country | US
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Telephone | 786-355-3400
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Fax |
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-19-10349
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 100866
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-77689
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License Number State |
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