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General NPI Number Information
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NPI Number | 1497442388
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Entity Type | Individual
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Provider Name | DARLENE JOY ROSARIO
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Gender | Female
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 3750 PALLADIAN VILLAGE DR STE 320
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City | MARIETTA
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State | GA
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Zip | 30066-8204
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Country | US
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Telephone | 619-775-9515
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20473
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City | ATLANTA
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State | GA
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Zip | 30325-0473
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Country | US
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Telephone | 619-775-9515
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC013788
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License Number State | GA
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