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General NPI Number Information
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NPI Number | 1619819257
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Entity Type | Individual
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Provider Name | JILLIAN ALANI ROTAX
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Gender | Female
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 1104 E FOWLER AVE UNIT 100
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City | TAMPA
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State | FL
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Zip | 33612-5404
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Country | US
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Telephone | 352-644-1716
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Fax |
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Provider Business Mailing Address
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Address Line | 457 MARION OAKS MNR
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City | OCALA
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State | FL
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Zip | 34473-3117
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Country | US
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Telephone | 352-456-8528
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | FL
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