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General NPI Number Information
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NPI Number | 1083092209
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Entity Type | Individual
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Provider Name | JOSE JAVIER ROCHA RDHAP
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Gender | Male
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 2040 CAMFIELD AVE
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City | COMMERCE
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State | CA
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Zip | 90040-1574
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Country | US
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Telephone | 323-725-8751
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 W FRANCES DR
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City | ANAHEIM
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State | CA
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Zip | 92801-3637
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Country | US
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Telephone | 562-396-8408
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | HAP979
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 28280
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License Number State | CA
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