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General NPI Number Information
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NPI Number | 1730003641
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Entity Type | Organization
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Legal Business Name | ROSECRANCE INC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 2800 ROYAL AVE STE 208
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City | MONONA
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State | WI
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Zip | 53713-1518
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Country | US
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Telephone | 815-391-1000
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Fax | 815-316-4726
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Provider Business Mailing Address
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Address Line | 1021 N MULFORD RD
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City | ROCKFORD
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State | IL
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Zip | 61107-3874
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Country | US
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Telephone | 815-387-5600
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Fax | 815-316-4726
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | BRITTON CARLSON
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Credential |
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Telephone | 815-387-5664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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