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General NPI Number Information
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NPI Number | 1609761865
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Entity Type | Organization
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Legal Business Name | MARY ROCKAS MD PLLC
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 115 MILL ST
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City | BELMONT
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State | MA
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Zip | 02478-1064
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Country | US
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Telephone | 781-315-6167
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Fax |
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Provider Business Mailing Address
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Address Line | 115 MILL STREET MAIL STOP 222
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City | BELMONT
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State | MA
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Zip | 02478
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | MARY ROCKAS
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Credential | MD
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Telephone | 781-315-6167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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