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General NPI Number Information
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NPI Number | 1528238060
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Entity Type | Individual
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Provider Name | VALERY ROCKWELL CCMHC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 03/12/2011
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Provider Practice Location Address
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Address Line | 58 HANCOCK ST 58 HANCOCK STREET
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City | LEXINGTON
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State | MA
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Zip | 02420-3421
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Country | US
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Telephone | 617-763-4943
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Fax | 781-862-1580
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Provider Business Mailing Address
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Address Line | 58 HANCOCK ST 58 HANCOCK STREET
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City | LEXINGTON
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State | MA
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Zip | 02420-3421
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Country | US
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Telephone | 617-763-4943
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Fax | 781-862-1580
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 55
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License Number State | MA
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