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General NPI Number Information
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NPI Number | 1710376983
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Entity Type | Individual
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Provider Name | ROCHELLE ENRIQUEZ
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Gender | Female
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 46665 JOUBERT TER
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City | POTOMAC FALLS
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State | VA
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Zip | 20165-4334
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Country | US
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Telephone | 703-415-6896
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Fax |
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Provider Business Mailing Address
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Address Line | 46665 JOUBERT TER
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City | POTOMAC FALLS
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State | VA
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Zip | 20165-4334
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Country | US
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Telephone | 703-415-6896
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Fax | 317-388-0805
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 0001222701
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License Number State | VA
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