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NPI 1528950375

NPI 1528950375 : TERESA ROSENBERG NP : LOMPOC, CA

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General NPI Number Information
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    NPI Number           |    1528950375
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    Entity Type          |    Individual 
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    Provider Name        |    TERESA ROSENBERG NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/16/2025
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    Last Update Date     |    08/18/2025
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Provider Practice Location Address
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    Address Line         |    1515 E OCEAN AVE 
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    City                 |    LOMPOC
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    State                |    CA
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    Zip                  |    93436-7092
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    Country              |    US
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    Telephone            |    805-737-3333
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1125 DE LA VINA ST APT I 
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    City                 |    SANTA BARBARA
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    State                |    CA
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    Zip                  |    93101-3153
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    Country              |    US
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    Telephone            |    443-812-0359
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    95034322
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    License Number State |    CA
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