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General NPI Number Information
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NPI Number | 1558074815
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Entity Type | Organization
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Legal Business Name | ROSALES CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 4111 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34233-2555
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Country | US
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Telephone | 941-275-6099
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51981
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City | SARASOTA
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State | FL
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Zip | 34232-0336
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Country | US
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Telephone | 786-523-1463
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. YESSICA ROSALES
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Credential | DC
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Telephone | 786-523-1463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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