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General NPI Number Information
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NPI Number | 1700738275
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Entity Type | Individual
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Provider Name | AILEEN DANIELA ROSALES-ESTRADA
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Gender | Female
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 595 PACIFIC AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94133-4681
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Country | US
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Telephone | 336-837-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 103 SAGE BRUSH RD
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City | PINNACLE
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State | NC
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Zip | 27043-9463
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Country | US
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Telephone | 336-837-9030
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | L008718
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License Number State | NC
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