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General NPI Number Information
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NPI Number | 1548126436
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Entity Type | Individual
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Provider Name | ROSANNA I ROSENBERG
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Gender |
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 703 FAIRWAY DR
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City | MEBANE
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State | NC
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Zip | 27302-6085
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Country | US
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Telephone | 610-739-2155
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Fax |
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Provider Business Mailing Address
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Address Line | 703 FAIRWAY DR
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City | MEBANE
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State | NC
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Zip | 27302-6085
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 06712
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 16987
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License Number State | NC
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