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General NPI Number Information
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NPI Number | 1386570653
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Entity Type | Individual
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Provider Name | SAMANTHA ROCHE
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Gender |
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 139 N MAIN ST STE 301
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City | BEL AIR
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State | MD
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Zip | 21014-8808
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Country | US
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Telephone | 443-567-7037
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Fax | 443-390-1136
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Provider Business Mailing Address
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Address Line | 1863 EDGEWOOD RD
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City | TOWSON
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State | MD
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Zip | 21286-8907
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Country | US
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Telephone | 410-491-9992
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | A01160
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License Number State | MD
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