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General NPI Number Information
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NPI Number | 1417958158
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Entity Type | Individual
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Provider Name | JEFFREY J. ROCK DPM
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 10/26/2017
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Provider Practice Location Address
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Address Line | 8 COMMERCE BLVD.
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City | MIDDLEBOROUGH
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State | MA
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Zip | 02346
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Country | US
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Telephone | 774-260-9720
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Fax | 774-260-9725
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Provider Business Mailing Address
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Address Line | 362 N BEDFORD ST
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-1148
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Country | US
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Telephone | 774-260-9720
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Fax | 774-260-9725
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | DPM 303
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 303
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2068
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2068
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 303
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License Number State | RI
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