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General NPI Number Information
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NPI Number | 1336027978
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Entity Type | Individual
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Provider Name | ROCHELLE OLIVER
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Gender | Female
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 183 BONITA DR
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City | MEMPHIS
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State | TN
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Zip | 38109-4519
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Country | US
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Telephone | 901-300-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 4466 ELVIS PRESLEY BLVD STE 103
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City | MEMPHIS
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State | TN
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Zip | 38116-7129
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Country | US
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Telephone | 901-300-2272
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Fax | 901-231-6785
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 3976
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License Number State | TN
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