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General NPI Number Information
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NPI Number | 1609149434
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Entity Type | Individual
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Provider Name | PAMELA GABRIEL ROSARIO PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 41197 GOLDEN GATE CIR STE 107
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City | MURRIETA
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State | CA
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Zip | 92562-6998
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Country | US
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Telephone | 951-215-6747
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Fax | 619-268-5255
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Provider Business Mailing Address
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Address Line | 44274 GEORGE CUSHMAN CT STE 210
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City | TEMECULA
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State | CA
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Zip | 92592-5945
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Country | US
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Telephone | 951-302-4603
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Fax | 951-302-4605
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 571234
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 21617
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21617
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License Number State | CA
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