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General NPI Number Information
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NPI Number | 1497632111
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Entity Type | Individual
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Provider Name | DR. ADAM ROSEN-CAROLE
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Gender | Male
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 100 ALLENS CREEK RD STE G
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City | ROCHESTER
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State | NY
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Zip | 14618-3303
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Country | US
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Telephone | 585-754-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 61 DORCHESTER RD
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City | ROCHESTER
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State | NY
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Zip | 14610-1317
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Country | US
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Telephone | 585-754-0400
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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 | P137394
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License Number State | NY
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