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General NPI Number Information
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NPI Number | 1497991681
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Entity Type | Individual
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Provider Name | PATRICIA ROCKLAGE MS, MFT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 12/18/2008
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Provider Practice Location Address
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Address Line | 76 SUMMER ST
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City | FITCHBURG
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State | MA
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Zip | 01420-5783
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Country | US
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Telephone | 978-443-0486
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Fax | 978-453-9394
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Provider Business Mailing Address
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Address Line | 270 MARLBORO RD
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City | SUDBURY
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State | MA
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Zip | 01776-1352
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Country | US
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Telephone | 978-443-0486
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Fax | 978-453-9394
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1043
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License Number State | MA
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