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General NPI Number Information
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NPI Number | 1902820079
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Entity Type | Individual
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Provider Name | JANE L LAROCHE MD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 545 SUMTER HWY
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City | BISHOPVILLE
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State | SC
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Zip | 29010-7601
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Country | US
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Telephone | 803-484-5317
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Fax |
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Provider Business Mailing Address
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Address Line | 3 KIRKWOOD ST
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City | CAMDEN
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State | SC
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Zip | 29020-2458
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Country | US
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Telephone | 803-432-0017
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 8743
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 8743
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License Number State | SC
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