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General NPI Number Information
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NPI Number | 1447066741
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Entity Type | Individual
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Provider Name | DR. ROSETTA FAITHE CARABALLO
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1701 E WOODFIELD RD
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City | SCHAUMBURG
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State | IL
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Zip | 60173-5905
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Country | US
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Telephone | 224-269-4549
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Fax |
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Provider Business Mailing Address
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Address Line | 2106 UNION ST APT 3C
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City | BROOKLYN
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State | NY
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Zip | 11212-8320
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Country | US
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Telephone | 516-782-9116
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150115600
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License Number State | IL
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