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General NPI Number Information
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NPI Number | 1033346184
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Entity Type | Organization
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Legal Business Name | RODA HOME COMPANION CARE, LLC
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 356 PLEASURE LAND RD
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City | GUN BARREL CITY
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State | TX
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Zip | 75156-5244
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Country | US
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Telephone | 903-880-1034
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Fax | 903-880-1034
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Provider Business Mailing Address
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Address Line | 356 PLEASURE LAND RD
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City | GUN BARREL CITY
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State | TX
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Zip | 75156-5244
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Country | US
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Telephone | 903-880-1034
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Fax | 903-880-1034
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Authorized Official
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Title or Position | MANAGER/DIRECTOR
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Name | MRS. ROSALIA ILAGAN MAGHARI
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Credential |
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Telephone | 903-880-1034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 801133537
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License Number State | TX
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