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General NPI Number Information
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NPI Number | 1437996816
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Entity Type | Individual
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Provider Name | REN ROSA FIORE
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Gender | Female
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Dates
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Enumeration Date | 07/11/2024
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 1719 ASHLEY CIR STE 101
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City | BOWLING GREEN
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State | KY
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Zip | 42104-5837
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Country | US
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Telephone | 615-502-0396
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Fax |
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Provider Business Mailing Address
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Address Line | 600 KIRTLEY WAY APT D3
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City | BOWLING GREEN
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State | KY
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Zip | 42104-5344
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Country | US
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Telephone | 931-436-6678
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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