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General NPI Number Information
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NPI Number | 1730801804
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Entity Type | Individual
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Provider Name | STEVEN ANTHONY ROSALES FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 88775 AVENUE 76TH SUITE 1
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City | THERMAL
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State | CA
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Zip | 92274
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Country | US
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Telephone | 760-397-2501
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Fax |
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Provider Business Mailing Address
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Address Line | 31015 AVENIDA ALVERA
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-3019
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Country | US
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Telephone | 626-421-2229
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Fax | 626-359-2401
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95022273
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License Number State | CA
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