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General NPI Number Information
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NPI Number | 1871840165
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Entity Type | Individual
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Provider Name | JENNIFER PAZ ROSSI CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 3950 N 46TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33021-1726
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Country | US
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Telephone | 954-962-9022
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Fax |
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Provider Business Mailing Address
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Address Line | 361 N UNIVERSITY DR APT 630
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City | PLANTATION
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State | FL
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Zip | 33324-2061
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Country | US
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Telephone | 305-282-7828
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9579686
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 609629
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 382206
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 11015767
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License Number State | FL
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