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NPI 1649134685

NPI 1649134685 : ANGELA JEAN ROSSETTO : CHANDLER, AZ

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General NPI Number Information
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    NPI Number           |    1649134685
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA JEAN ROSSETTO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/15/2025
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    Last Update Date     |    12/15/2025
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Provider Practice Location Address
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    Address Line         |    908 W CHANDLER BLVD 
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    City                 |    CHANDLER
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    State                |    AZ
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    Zip                  |    85225-2548
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    Country              |    US
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    Telephone            |    480-745-0136
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1313 S VAL VISTA DR APT 160 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85204-6476
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    Country              |    US
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    Telephone            |    586-291-5374
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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