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General NPI Number Information
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NPI Number | 1700993821
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Entity Type | Individual
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Provider Name | JEFFREY S LA ROCHELLE MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 3400 QUADRANGLE BLVD
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City | ORLANDO
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State | FL
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Zip | 32817-1492
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Country | US
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Telephone | 407-266-3627
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Fax | 407-882-4799
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Provider Business Mailing Address
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Address Line | 13732 BUDWORTH CIR
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City | ORLANDO
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State | FL
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Zip | 32832-6114
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Country | US
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Telephone | 301-803-9852
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME93882
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License Number State | FL
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