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General NPI Number Information
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NPI Number | 1689981938
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Entity Type | Individual
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Provider Name | ROCHELLE LOTOYA DAHL AS
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Gender | Female
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 3360 BURNS RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4323
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Country | US
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Telephone | 561-622-1412
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Fax |
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Provider Business Mailing Address
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Address Line | 6021 SEMINOLE GARDENS CIR
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City | RIVIERA BEACH
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State | FL
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Zip | 33418-6582
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Country | US
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Telephone | 561-713-3329
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11043214
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State | FL
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