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General NPI Number Information
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NPI Number | 1588851034
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Entity Type | Individual
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Provider Name | AMARANTA ROCHA LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 26891 SPRING ST
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-2692
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Country | US
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Telephone | 949-496-2931
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 LEWIS ST
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City | SANTA ANA
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State | CA
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Zip | 92706-1317
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Country | US
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Telephone | 714-750-5118
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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