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General NPI Number Information
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NPI Number | 1487795928
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Entity Type | Individual
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Provider Name | CYNTHIA KAE ROSENOW RD, CD
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 871 CORONADO CENTER DR STE 200
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City | HENDERSON
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State | NV
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Zip | 89052-3977
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Country | US
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Telephone | 702-830-9685
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Fax | 702-623-2921
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Provider Business Mailing Address
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Address Line | 18001 N 79TH AVE STE A12
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City | GLENDALE
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State | AZ
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Zip | 85308-8398
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Country | US
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Telephone | 623-399-6825
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Fax | 623-505-3474
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI00001729
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 39643-DI-0
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 39643-DI-1
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License Number State | NV
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