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General NPI Number Information
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NPI Number | 1588592778
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Entity Type | Individual
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Provider Name | JASON P ROCHESTER
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Gender | Male
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 117 E KINGS HWY
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City | EDEN
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State | NC
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Zip | 27288-5201
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Country | US
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Telephone | 704-657-0710
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Fax |
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Provider Business Mailing Address
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Address Line | 3607 ROSE ST
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City | STATESVILLE
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State | NC
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Zip | 28677-2880
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Country | US
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Telephone | 704-657-0710
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | P010703
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License Number State | NC
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