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General NPI Number Information
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NPI Number | 1689533721
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Entity Type | Organization
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Legal Business Name | SIMPLY INFINITY ROSE LLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 7017 CONIFER DR
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City | TAMPA
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State | FL
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Zip | 33637-6465
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Country | US
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Telephone | 813-702-9610
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Fax | 813-378-3870
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Provider Business Mailing Address
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Address Line | PO BOX 290565
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City | TAMPA
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State | FL
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Zip | 33687-0565
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Country | US
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Telephone | 813-702-9610
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Fax | 813-378-3870
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Authorized Official
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Title or Position | PROVIDER
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Name | MS. JANET ROSE STEWART
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Credential | BSN,MS,LMHC
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Telephone | 813-702-9610
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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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