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General NPI Number Information
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NPI Number | 1679602478
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Entity Type | Individual
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Provider Name | STEPHEN R. ROSALES M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 300 UNIVERSITY BLVD
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City | ROUND ROCK
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State | TX
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Zip | 78665-1032
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Country | US
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Telephone | 512-509-0100
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Fax | 512-218-6330
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 800-994-0371
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Fax | 254-215-9722
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 24602
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N1434
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.205596
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.205596
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 24602
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License Number State | OK
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Taxonomy #6
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N1434
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License Number State | TX
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