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General NPI Number Information
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NPI Number | 1427676303
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Entity Type | Individual
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Provider Name | JILLIAN ROSENFELD PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 3461 S COUNTY TRL STE 101
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City | EAST GREENWICH
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State | RI
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Zip | 02818-1463
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Country | US
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Telephone | 401-471-6740
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Fax | 401-471-6753
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Provider Business Mailing Address
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Address Line | PO BOX 229
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City | WAKEFIELD
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State | RI
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Zip | 02880-0229
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Country | US
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Telephone | 401-788-3929
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Fax | 401-788-3939
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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