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General NPI Number Information
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NPI Number | 1831056571
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Entity Type | Individual
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Provider Name | NEMENIFA ROSOKOW
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3410 CHERRY AVE NE
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City | KEIZER
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State | OR
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Zip | 97303-4924
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Country | US
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Telephone | 503-606-7697
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Fax |
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Provider Business Mailing Address
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Address Line | 155 PEMBROOK ST SE
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City | SALEM
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State | OR
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Zip | 97302-5050
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Country | US
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Telephone | 971-712-8425
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 114856
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License Number State | OR
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