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General NPI Number Information
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NPI Number | 1376240713
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Entity Type | Individual
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Provider Name | KARINA CAROLINA ROCHABRUN
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Gender | Female
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 326 NICHOLS RD
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City | FITCHBURG
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State | MA
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Zip | 01420-1914
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Country | US
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Telephone | 978-878-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 70 CHAMBERLAIN RD
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City | WESTFORD
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State | MA
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Zip | 01886-2042
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Country | US
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Telephone | 773-957-3297
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DL15782
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DL16020
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License Number State | MA
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