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General NPI Number Information
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NPI Number | 1992663959
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Entity Type | Individual
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Provider Name | MARCELLA MARYANN ROSENBERG DNP, MBA, MSN,FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 4055 VALLEY VIEW LN STE 700
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City | DALLAS
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State | TX
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Zip | 75244-5045
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Country | US
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Telephone | 855-984-5121
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Fax |
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Provider Business Mailing Address
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Address Line | 1810 N SPAULDING AVE
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City | CHICAGO
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State | IL
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Zip | 60647-4927
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Country | US
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Telephone | 773-991-2885
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209020184
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License Number State | IL
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