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General NPI Number Information
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NPI Number | 1881169555
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Entity Type | Individual
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Provider Name | DAVID R ROSE ARNP
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Gender | Male
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Dates
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Enumeration Date | 10/09/2018
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 200 OCEANGATE STE 100
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City | LONG BEACH
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State | CA
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Zip | 90802-4317
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Country | US
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Telephone | 888-562-5442
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Fax |
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Provider Business Mailing Address
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Address Line | 3099 ALOMA AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-3702
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Country | US
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Telephone | 407-951-6302
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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 | NP002788
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP002788
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License Number State | GA
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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 | 9431890
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 29456
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 29456
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License Number State | SC
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