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General NPI Number Information
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NPI Number | 1568325017
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Entity Type | Organization
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Legal Business Name | THE DELICATE ROSE PLLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 165 HAVERHILL ST
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City | ANDOVER
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State | MA
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Zip | 01810-1508
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Country | US
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Telephone | 781-869-0145
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Fax |
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Provider Business Mailing Address
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Address Line | 165 HAVERHILL ST
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City | ANDOVER
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State | MA
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Zip | 01810-1508
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Country | US
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Telephone | 781-869-0145
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Fax |
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Authorized Official
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Title or Position | NP, OWNER
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Name | ROSE ATHIME
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Credential | NP
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Telephone | 781-869-0145
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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 |
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License Number State |
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