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NPI 1366369928

NPI 1366369928 : LINDSAY ROCHE : BOWIE, MD

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General NPI Number Information
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    NPI Number           |    1366369928
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSAY ROCHE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2026
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    Last Update Date     |    07/02/2026
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Provider Practice Location Address
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    Address Line         |    16052 ENGLISH OAKS AVE APT B 
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    City                 |    BOWIE
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    State                |    MD
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    Zip                  |    20716-3353
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    Country              |    US
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    Telephone            |    856-816-8959
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3724 JEFFERSON ST STE 104 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-6204
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    Country              |    US
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    Telephone            |    512-693-7045
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    DX8649
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    License Number State |    MD
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