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General NPI Number Information
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NPI Number | 1811697824
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Entity Type | Organization
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Legal Business Name | DR J ROSADO PSYCHOLOGIST, LLC
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 28 ERIC DRIVE
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City | HOWELL
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State | NJ
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Zip | 07731-2558
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Country | US
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Telephone | 732-780-9898
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Fax |
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Provider Business Mailing Address
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Address Line | 330 MOUNTS CORNER DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-2558
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN WILLIAM ROSADO JR.
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Credential |
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Telephone | 732-952-9030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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