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General NPI Number Information
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NPI Number | 1164570578
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Entity Type | Individual
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Provider Name | ROCHELLE ANN DINGMANN OTRL
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 921 43RD AVE N
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City | FARGO
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State | ND
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Zip | 58102-5320
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Country | US
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Telephone | 701-793-3646
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Fax | 701-232-2330
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Provider Business Mailing Address
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Address Line | 547 QUEENS CT
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City | MOORHEAD
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State | MN
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Zip | 56560-6777
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Country | US
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Telephone | 218-287-2017
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Fax | 701-232-2330
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 952
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 103216
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License Number State | MN
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