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General NPI Number Information
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NPI Number | 1902184922
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Entity Type | Individual
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Provider Name | JULIANA ROSE ROCHA LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 1140 MAIN ST
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City | LIVINGSTON
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State | CA
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Zip | 95334-1257
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Country | US
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Telephone | 209-394-7913
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Fax | 209-394-3660
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Provider Business Mailing Address
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Address Line | 300 PULLMAN ST
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City | LIVERMORE
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State | CA
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Zip | 94551-9756
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Country | US
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Telephone | 209-394-7913
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Fax | 209-394-3660
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 28848
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License Number State | CA
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