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General NPI Number Information
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NPI Number | 1649157389
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Entity Type | Individual
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Provider Name | BIANCA MARIA ROCHA RDH, BSDH, BS
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 816 2ND ST
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City | LOS BANOS
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State | CA
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Zip | 93635-4124
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Country | US
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Telephone | 209-812-0041
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Fax |
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Provider Business Mailing Address
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Address Line | 2080 VENEZIA ST
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City | LOS BANOS
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State | CA
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Zip | 93635-6438
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Country | US
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Telephone | 209-752-4446
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 37505
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License Number State | CA
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