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General NPI Number Information
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NPI Number | 1427054311
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Entity Type | Individual
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Provider Name | ROSANNA ROS APRN
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Gender | Female
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 03/27/2021
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Provider Practice Location Address
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Address Line | 3501 JOHNSON ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5421
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Country | US
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Telephone | 305-302-8106
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 CROASDAILE DR
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City | DURHAM
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State | NC
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Zip | 27705-2505
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Country | US
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Telephone | 877-751-1157
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Fax | 919-425-1596
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP3259062
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License Number State | FL
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