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General NPI Number Information
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NPI Number | 1922841170
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Entity Type | Individual
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Provider Name | JESSLIAN ROSA ROSADO DC
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 1269 BARCLAY CIR SE
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City | MARIETTA
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State | GA
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Zip | 30060-2903
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Country | US
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Telephone | 770-426-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 950 E MAIN ST APT 809
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City | CARTERSVILLE
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State | GA
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Zip | 30121-2286
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Country | US
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Telephone | 939-261-3500
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR011030
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License Number State | GA
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