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General NPI Number Information
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NPI Number | 1164128534
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Entity Type | Individual
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Provider Name | KATHERINE DELLA ROCCO APRN
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Gender | Female
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3050 DURALEIGH RD STE 111
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City | RALEIGH
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State | NC
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Zip | 27612-5451
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Country | US
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Telephone | 984-215-6990
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Fax | 984-215-6991
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Provider Business Mailing Address
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Address Line | 295 E 29TH ST STE 70
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City | LOVELAND
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State | CO
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Zip | 80538-2743
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Country | US
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Telephone | 252-263-8199
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024188848
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5019338
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0999170-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0999170-NP
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License Number State | CO
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