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General NPI Number Information
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NPI Number | 1891467866
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Entity Type | Individual
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Provider Name | ALESKA N. PELLOT-ROSARIO MS
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 15050 SW 29TH TERRACE RD STE 1
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City | OCALA
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State | FL
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Zip | 34473-2904
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Country | US
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Telephone | 352-693-5367
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Fax |
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Provider Business Mailing Address
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Address Line | 15050 SW 29TH TERRACE RD
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City | OCALA
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State | FL
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Zip | 34473-2904
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Country | US
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Telephone | 352-480-6569
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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