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General NPI Number Information
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NPI Number | 1487588489
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Entity Type | Organization
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Legal Business Name | INDIAN RIVER PSYCHIATRIC AND ADDICTION ASSOCIATES LLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 2225 HIGHWAY A1A APT 308
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-4939
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Country | US
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Telephone | 715-209-2249
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Fax |
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Provider Business Mailing Address
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Address Line | 2225 HIGHWAY A1A APT 308
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-4939
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Country | US
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Telephone | 715-209-2249
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Fax |
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Authorized Official
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Title or Position | MBR
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Name | FREDERICK DANIEL ROCHMAN
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Credential | MD
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Telephone | 715-209-2249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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