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General NPI Number Information
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NPI Number | 1740115286
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Entity Type | Individual
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Provider Name | ROSALINDA MARCOS
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Gender | Female
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 21 RANCHO CAMINO DR FL 2
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City | POMONA
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State | CA
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Zip | 91766-7019
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Country | US
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Telephone | 909-634-3974
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Fax | 855-864-1494
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Provider Business Mailing Address
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Address Line | 670 W FIREWEED LN STE 160
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City | ANCHORAGE
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State | AK
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Zip | 99503-2561
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Country | US
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Telephone | 907-770-0862
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | E1905147
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License Number State | CA
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