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General NPI Number Information
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NPI Number | 1790463982
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Entity Type | Organization
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Legal Business Name | ROSE PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 9393 E PALO BREA BND APT 2090
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-6518
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Country | US
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Telephone | 480-321-6280
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Fax |
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Provider Business Mailing Address
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Address Line | 9393 E PALO BREA BND APT 2090
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-6518
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Country | US
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Telephone | 480-321-6280
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Fax |
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Authorized Official
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Title or Position | LCSW / PRINCIPAL
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Name | MS. MICHELLE SICIGNANO
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Credential | LCSW
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Telephone | 480-321-6280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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