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General NPI Number Information
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NPI Number | 1841699980
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Entity Type | Individual
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Provider Name | RANDI L ROSE NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 1177 BOSTON PROVIDENCE TPKE
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City | NORWOOD
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State | MA
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Zip | 02062-5019
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Country | US
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Telephone | 781-278-5610
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Fax |
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Provider Business Mailing Address
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Address Line | 153 WASHINGTON ST
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City | NORWOOD
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State | MA
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Zip | 02062-1511
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Country | US
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Telephone | 781-888-1739
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 284235
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN284235
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 284235
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License Number State | MA
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