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General NPI Number Information
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NPI Number | 1700041258
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Entity Type | Organization
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Legal Business Name | ROSEN THERAPY LLC
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 12722 CONCHO DR
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City | FRISCO
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State | TX
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Zip | 75034-0979
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Country | US
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Telephone | 972-814-9116
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Fax | 972-731-0607
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Provider Business Mailing Address
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Address Line | 12722 CONCHO DR
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City | FRISCO
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State | TX
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Zip | 75034-0979
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Country | US
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Telephone | 972-814-9116
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Fax | 972-731-0607
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNA ROSEN
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Credential | M.S. CCC/SLP
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Telephone | 972-814-9116
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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 | 101784
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License Number State | TX
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