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General NPI Number Information
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NPI Number | 1699658112
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Entity Type | Individual
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Provider Name | REBECCA ROUSEFF MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 4540 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34233-2567
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Country | US
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Telephone | 941-413-0417
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Fax |
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Provider Business Mailing Address
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Address Line | 4004 LISBON PL
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City | SARASOTA
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State | FL
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Zip | 34231-2920
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Country | US
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Telephone | 305-849-2545
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA16059
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License Number State | FL
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