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General NPI Number Information
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NPI Number | 1902167182
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Entity Type | Organization
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Legal Business Name | ROSSLER, INC
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 06/04/2012
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Provider Practice Location Address
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Address Line | 2431 ALOMA AVE SUITE 129
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 407-365-2607
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Fax | 407-671-7360
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Provider Business Mailing Address
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Address Line | 2431 ALOMA AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 407-365-2607
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Fax | 407-671-7360
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Authorized Official
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Title or Position | PRESIDENT
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Name | VICKI LYNN ROSSLER
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Credential | LMHC, NCC, CAPP
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Telephone | 407-365-2607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | MH3167
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License Number State | FL
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