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General NPI Number Information
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NPI Number | 1427552728
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Entity Type | Individual
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Provider Name | ROSETTE MICHELLE CHARLES MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 2589 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-2778
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Country | US
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Telephone | 954-714-1264
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Fax | 954-320-7142
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Provider Business Mailing Address
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Address Line | 2589 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-2778
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Country | US
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Telephone | 954-714-1264
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Fax | 954-320-7142
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME151429
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 84003
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License Number State | WI
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