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General NPI Number Information
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NPI Number | 1043721723
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Entity Type | Individual
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Provider Name | ROCHELLE LAVONNE HARRIS
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Gender | Female
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 10/20/2017
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Provider Practice Location Address
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Address Line | 828 W HIGHLAND AVE
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City | ALBANY
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State | GA
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Zip | 31701-2778
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Country | US
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Telephone | 404-447-8659
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Fax |
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Provider Business Mailing Address
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Address Line | 3816 MAYFAIR LN APT A
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City | ALBANY
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State | GA
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Zip | 31721-6547
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Country | US
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Telephone | 404-447-8659
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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