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General NPI Number Information
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NPI Number | 1740589803
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Entity Type | Individual
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Provider Name | MS. ROSELINE LOUISXVI
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Gender | Female
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 12/10/2018
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Provider Practice Location Address
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Address Line | 9526 NE 2ND AVE STE 202D
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2741
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Country | US
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Telephone | 954-815-1192
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Fax | 844-269-8097
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Provider Business Mailing Address
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Address Line | 3601 FEDERAL HWY
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City | MIAMI
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State | FL
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Zip | 33137-3795
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Country | US
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Telephone | 305-576-6611
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Fax | 305-576-0008
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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