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General NPI Number Information
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NPI Number | 1407031206
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Entity Type | Individual
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Provider Name | ROCHELLE HELENE COCKE LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 123 HERITAGE LN
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City | SYKESVILLE
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State | MD
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Zip | 21784-9418
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Country | US
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Telephone | 410-665-2900
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Fax | 410-549-0600
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Provider Business Mailing Address
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Address Line | 8109 HARFORD RD UNIT 2
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City | PARKVILLE
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State | MD
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Zip | 21234-9205
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Country | US
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Telephone | 410-665-2900
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Fax | 410-549-0600
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11304
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License Number State | MD
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