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General NPI Number Information
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NPI Number | 1881973725
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Entity Type | Individual
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Provider Name | JUAN ROSAS
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Gender | Male
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 1629 K ST NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1631
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Country | US
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Telephone | 202-430-6249
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Fax |
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Provider Business Mailing Address
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Address Line | 1413 K ST NW FL 4
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City | WASHINGTON
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State | DC
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Zip | 20005-4577
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Country | US
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Telephone | 681-443-5138
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Fax | 681-443-5138
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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