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General NPI Number Information
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NPI Number | 1043879539
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Entity Type | Organization
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Legal Business Name | RODMAN SURGICAL PLLC
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 9230 KATY FREEWAY SUITE 420
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City | HOUSTON
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State | TX
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Zip | 77055-7705
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Country | US
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Telephone | 713-799-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 2209 MORGAN ST
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City | HOUSTON
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State | TX
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Zip | 77006-2033
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Country | US
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Telephone | 312-375-8277
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REGINA RODMAN
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Credential | MD
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Telephone | 312-375-8277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number |
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License Number State |
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