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General NPI Number Information
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NPI Number | 1922325174
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Entity Type | Organization
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Legal Business Name | RONA W.ROSS, PH.D., P.A,
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Dates
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Enumeration Date | 04/28/2010
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 330 S PINEAPPLE AVE #110
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City | SARASOTA
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State | FL
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Zip | 34236-7021
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Country | US
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Telephone | 941-954-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 330 S PINEAPPLE AVE #110
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City | SARASOTA
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State | FL
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Zip | 34236-7021
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Country | US
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Telephone | 941-954-6050
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | RONA W. ROSS
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Credential | PH.D.
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Telephone | 941-954-6050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY2558
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License Number State | FL
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