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General NPI Number Information
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NPI Number | 1801960869
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Entity Type | Individual
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Provider Name | ROCHELLE SCAVELLA RRT
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 5575 NW WESLEY CT
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City | PORT ST LUCIE
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State | FL
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Zip | 34986
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Country | US
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Telephone | 305-301-4416
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Fax |
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Provider Business Mailing Address
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Address Line | 5575 NW WESLEY CT
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City | PSL
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State | FL
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Zip | 34986
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Country | US
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Telephone | 305-301-4416
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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 | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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License Number | RT2995
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License Number State | FL
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