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General NPI Number Information
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NPI Number | 1487440772
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Entity Type | Organization
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Legal Business Name | ROSS MEDICAL INTERNATIONAL, LLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 22 PARK TERRACE DR
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32080-5334
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Country | US
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Telephone | 904-347-8470
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Fax | 904-368-5561
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Provider Business Mailing Address
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Address Line | 22 PARK TERRACE DR
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32080-5334
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Country | US
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Telephone | 904-347-8470
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Fax | 904-368-5561
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ELIZABETH M ROSS
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Credential | DO, LM/CPM
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Telephone | 904-347-8470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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