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General NPI Number Information
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NPI Number | 1568878247
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Entity Type | Organization
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Legal Business Name | ROCKWALL DERMATOLOGY PLLC
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 2701 SUNSET RIDGE DR SUITE 404
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City | ROCKWALL
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State | TX
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Zip | 75032-0005
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Country | US
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Telephone | 469-377-1700
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Fax | 469-377-1709
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Provider Business Mailing Address
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Address Line | 2701 SUNSET RIDGE DR SUITE 404
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City | ROCKWALL
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State | TX
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Zip | 75032-0005
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Country | US
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Telephone | 469-377-1700
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Fax | 469-377-1709
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Authorized Official
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Title or Position | DERMATOLOGIST
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Name | DR. JESSICA MARIE SAUCIER
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Credential | M.D.
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Telephone | 469-377-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | P2921
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License Number State | TX
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