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General NPI Number Information
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NPI Number | 1902393416
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Entity Type | Individual
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Provider Name | ANTHONY ROSSETTI DPT
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Gender | Male
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 4650 PALM AVE
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City | SAN DIEGO
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State | CA
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Zip | 92154-8404
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Country | US
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Telephone | 828-200-7248
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Fax |
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Provider Business Mailing Address
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Address Line | 281 VANDERBILT DR
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City | AIKEN
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State | SC
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Zip | 29803-3208
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Country | US
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Telephone | 828-200-7248
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT6323
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P17330
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8747
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305211393
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 294299
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License Number State | CA
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