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General NPI Number Information
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NPI Number | 1407997794
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Entity Type | Organization
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Legal Business Name | F.A.ROSALES, M.D., S.C.
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 143 S LINCOLN AVE STE N
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City | AURORA
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State | IL
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Zip | 60505-4290
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Country | US
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Telephone | 630-896-4050
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Fax | 630-896-4084
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Provider Business Mailing Address
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Address Line | 143 S LINCOLN AVE STE N
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City | AURORA
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State | IL
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Zip | 60505-4290
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Country | US
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Telephone | 630-896-4050
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Fax | 630-896-4084
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANCISCO ALBERTO ROSALES
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Credential | M.D.
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Telephone | 630-896-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36-060-287
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License Number State | IL
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