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General NPI Number Information
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NPI Number | 1699520239
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Entity Type | Individual
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Provider Name | CESAR AUGUSTO ROSA RMFTI
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Gender | Male
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Dates
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Enumeration Date | 04/18/2024
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 4500 NW 107TH AVE APT 201
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City | DORAL
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State | FL
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Zip | 33178-1885
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Country | US
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Telephone | 202-938-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 NW 107TH AVE
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City | DORAL
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State | FL
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Zip | 33178-1812
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Country | US
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Telephone | 786-519-3147
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMT4055.
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License Number State | FL
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