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General NPI Number Information
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NPI Number | 1700874443
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Entity Type | Individual
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Provider Name | BRENT J ROCHON MD
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Gender | Male
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 5000 AMBASSADOR CAFFERY PKWY BLDG #1
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City | LAFAYETTE
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State | LA
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Zip | 70508
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Country | US
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Telephone | 337-261-0928
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Fax | 337-233-7773
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Provider Business Mailing Address
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Address Line | 5000 AMBASSADOR CAFFERY PKWY BLDG #1
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City | LAFAYETTE
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State | LA
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Zip | 70508
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Country | US
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Telephone | 337-261-0928
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Fax | 337-233-7773
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD025873
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 025873
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD025873
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD 025873
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License Number State | LA
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