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General NPI Number Information
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NPI Number | 1801213038
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Entity Type | Individual
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Provider Name | DONNA ROSKO PSY D
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Gender | Female
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 210 S JUNIPER ST STE 205
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City | ESCONDIDO
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State | CA
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Zip | 92025-4200
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Country | US
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Telephone | 858-883-3529
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Fax |
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Provider Business Mailing Address
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Address Line | 210 S JUNIPER ST STE 205
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City | ESCONDIDO
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State | CA
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Zip | 92025-4200
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Country | US
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Telephone | 858-883-3529
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY25216
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License Number State | CA
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