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General NPI Number Information
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NPI Number | 1801695366
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Entity Type | Individual
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Provider Name | MS. ROSELYS NARCHUK
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 2615 FAIRWAYS DR
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City | HOMESTEAD
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State | FL
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Zip | 33035-1173
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Country | US
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Telephone | 929-342-7032
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Fax |
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Provider Business Mailing Address
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Address Line | 4821 REVOLUTIONARY WAY
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City | SAINT CLOUD
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State | FL
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Zip | 34769-1859
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Country | US
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Telephone | 929-342-7032
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Fax | 646-573-9440
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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 | RBT-24-388512
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License Number State | FL
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