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General NPI Number Information
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NPI Number | 1043638422
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Entity Type | Individual
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Provider Name | RYAN HENRY ROCHAT MD, PHD, MS
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Gender | Male
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 6621 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2358
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Country | US
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Telephone | 832-824-4330
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Fax |
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Provider Business Mailing Address
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Address Line | 5534 BENNING DR
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City | HOUSTON
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State | TX
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Zip | 77096-6134
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Country | US
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Telephone | 314-605-1719
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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 | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | R3742
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License Number State | TX
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