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General NPI Number Information
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NPI Number | 1831270065
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Entity Type | Individual
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Provider Name | ROCHELLE A, TRUSSELL PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 19 SOUTHPOINT LN
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City | WALLA WALLA
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State | WA
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Zip | 99362-4175
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Country | US
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Telephone | 509-525-3720
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Fax |
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Provider Business Mailing Address
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Address Line | 19 SOUTHPOINT LANE
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City | WALLA WALLA
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State | WA
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Zip | 99362
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Country | US
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Telephone | 509-525-3720
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Fax | 509-525-4691
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA60042248
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 3388
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License Number State | AZ
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