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General NPI Number Information
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NPI Number | 1578956132
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Entity Type | Individual
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Provider Name | JAMES JOSEPH ROCHE PHD
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Gender | Male
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Dates
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Enumeration Date | 03/06/2015
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 1685 H ST # 870
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City | BLAINE
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State | WA
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Zip | 98230-5110
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Country | US
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Telephone | 778-998-7975
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Fax |
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Provider Business Mailing Address
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Address Line | 303-338 8TH AVE W
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City | VANCOUVER
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State | BRITISH COLUMBIA
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Zip | V5Y3X2
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Country | CA
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Telephone |
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 013002-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY 60313079
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License Number State | WA
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