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General NPI Number Information
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NPI Number | 1790151462
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Entity Type | Individual
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Provider Name | ROCHELLE FAUSNEAUCHT MSN, RN, ACCNS-AG-BC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 2600 SIXTH ST SW
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City | CANTON
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State | OH
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Zip | 44710-1702
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Country | US
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Telephone | 330-363-9616
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Fax |
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Provider Business Mailing Address
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Address Line | 1154 WINDING RIDGE AVE
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City | LOUISVILLE
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State | OH
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Zip | 44641-2278
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Country | US
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Telephone | 330-418-3777
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | RN172403
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License Number State | OH
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