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General NPI Number Information
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NPI Number | 1164165809
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Entity Type | Individual
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Provider Name | ROCHELLE WHITLEY
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Gender | Female
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 9234 N LOOP 1604 ACCESS RD SUITE 112
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City | SAN ANTONIO
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State | TX
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Zip | 78249
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Country | US
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Telephone | 210-985-1227
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Fax |
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Provider Business Mailing Address
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Address Line | 9234 N LOOP 1604 ACCESS RD SUITE 112
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City | SAN ANTONIO
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State | TX
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Zip | 78249
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Country | US
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Telephone | 210-985-1227
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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 | CNP1220311
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License Number State | TX
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