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General NPI Number Information
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NPI Number | 1982657508
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Entity Type | Individual
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Provider Name | KARLA ROCHELEAU PT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 10/15/2019
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Provider Practice Location Address
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Address Line | 33 ELECTRIC AVENUE STE B10
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City | FITCHBURG
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State | MA
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Zip | 01420
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Country | US
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Telephone | 978-353-0030
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Fax | 978-353-0059
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Provider Business Mailing Address
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Address Line | 489 WASHINGTON ST STE 200
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City | AUBURN
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State | MA
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Zip | 01501-5709
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Country | US
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Telephone | 774-696-8309
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Fax | 508-297-8416
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7378
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License Number State | MA
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