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General NPI Number Information
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NPI Number | 1497231146
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Entity Type | Individual
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Provider Name | ROSIN THURUTHICKARA
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Gender | Female
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2825 S ANKENY BLVD
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City | ANKENY
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State | IA
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Zip | 50023-9417
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Country | US
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Telephone | 515-598-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 LINCOLN WAY UNIT 606
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City | AMES
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State | IA
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Zip | 50014-7173
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Country | US
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Telephone | 408-731-0103
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BA-01316
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License Number State | IA
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