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General NPI Number Information
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NPI Number | 1447502091
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Entity Type | Organization
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Legal Business Name | FRANK B. ROSELIONE PH.D. P.A.
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Dates
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Enumeration Date | 10/06/2012
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Last Update Date | 10/06/2012
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Provider Practice Location Address
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Address Line | 274 S UNIVERSITY DR
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City | PLANTATION
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State | FL
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Zip | 33324-3340
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Country | US
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Telephone | 954-474-3030
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Fax | 954-689-4004
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Provider Business Mailing Address
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Address Line | 16280 ONEIDA PL
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City | DAVIE
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State | FL
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Zip | 33331-2100
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Country | US
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Telephone | 954-689-4002
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Fax | 954-689-4004
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. FRANK B ROSELIONE
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Credential | PH.D.
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Telephone | 954-474-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY4170
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License Number State | FL
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