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General NPI Number Information
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NPI Number | 1386309375
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Entity Type | Individual
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Provider Name | EDWIN ARNOLDO ROCHA
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Gender | Male
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 106 JUANA MARIA AVE
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City | SANTA BARBARA
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State | CA
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Zip | 93103-2714
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Country | US
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Telephone | 805-963-5021
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Fax |
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Provider Business Mailing Address
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Address Line | 11190 CITRUS DR APT 86
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City | VENTURA
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State | CA
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Zip | 93004-1372
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Country | US
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Telephone | 805-637-4962
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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