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NPI 1669453361

NPI 1669453361 : GUY M ROCHMAN MD : MILTON, MA

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General NPI Number Information
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    NPI Number           |    1669453361
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    Entity Type          |    Individual 
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    Provider Name        |    GUY M ROCHMAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/09/2005
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    Last Update Date     |    07/09/2008
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Provider Practice Location Address
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    Address Line         |    100 HIGHLAND STREET SUITE 226
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    City                 |    MILTON
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    State                |    MA
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    Zip                  |    02186-3881
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    Country              |    US
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    Telephone            |    617-876-1600
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    Fax                  |    617-696-0766
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Provider Business Mailing Address
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    Address Line         |    100 HIGHLAND ST SUITE 226
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    City                 |    MILTON
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    State                |    MA
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    Zip                  |    02186-3881
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    Country              |    US
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    Telephone            |    617-876-1600
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    Fax                  |    617-696-0766
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    45844
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    License Number State |    MA
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