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General NPI Number Information
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NPI Number | 1982402392
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Entity Type | Individual
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Provider Name | ROSSENDLY ANEL GABRIEL
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Gender | Male
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 8245 VICELA DR
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City | SARASOTA
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State | FL
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Zip | 34240-1462
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Country | US
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Telephone | 800-217-9289
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 22ND CT E
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City | BRADENTON
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State | FL
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Zip | 34203-3827
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Country | US
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Telephone | 941-462-0333
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | RBT-24-352630
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License Number State | FL
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