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General NPI Number Information
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NPI Number | 1700856887
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Entity Type | Individual
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Provider Name | VANESSA K ROZZELLE M.A., M.ED
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Gender | Female
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1441 IRVING ST
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City | RAHWAY
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State | NJ
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Zip | 07065-4032
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Country | US
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Telephone | 732-340-9393
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Fax | 732-340-9519
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Provider Business Mailing Address
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Address Line | 250 STANTON ST
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City | RAHWAY
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State | NJ
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Zip | 07065-3124
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Country | US
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Telephone | 732-340-9393
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Fax | 732-340-9519
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00284700
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License Number State | NJ
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