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General NPI Number Information
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NPI Number | 1760832646
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Entity Type | Organization
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Legal Business Name | ROCHESTER CENTER FOR CHILDREN, LLC
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 1811 GREENVIEW PL SW STE 110
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City | ROCHESTER
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State | MN
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Zip | 55902-4354
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Country | US
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Telephone | 507-424-3234
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Fax | 507-424-3235
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Provider Business Mailing Address
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Address Line | 1811 GREENVIEW PL SW STE 110
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City | ROCHESTER
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State | MN
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Zip | 55902-4354
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Country | US
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Telephone | 507-424-3234
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Fax | 507-424-3235
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JONATHAN L SAILER
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Credential | MA ED.
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Telephone | 507-261-7499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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