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General NPI Number Information
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NPI Number | 1407642218
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Entity Type | Individual
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Provider Name | APRIL L ROSEBOROUGH
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Gender | Female
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2704 N OAK ST BLDG A1
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City | VALDOSTA
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State | GA
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Zip | 31602-5901
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Country | US
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Telephone | 229-474-4384
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Fax |
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Provider Business Mailing Address
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Address Line | 4062 CONWAY CIR
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City | VALDOSTA
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State | GA
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Zip | 31605-4413
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Country | US
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Telephone | 786-295-3463
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Fax | 786-295-3463
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 25-429-243
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License Number State | GA
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