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General NPI Number Information
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NPI Number | 1639455926
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Entity Type | Individual
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Provider Name | LAURA ROCHE NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 2204 WHITESBURG DR SW STE 300
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4523
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Country | US
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Telephone | 281-725-2637
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Fax | 866-717-6708
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Provider Business Mailing Address
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Address Line | 2204 WHITESBURG DR SW STE 300
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4523
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Country | US
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Telephone | 281-725-2637
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Fax | 866-717-6708
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 770026
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-114749
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License Number State | AL
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