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General NPI Number Information
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NPI Number | 1063886372
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Entity Type | Organization
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Legal Business Name | NATHALIE K ROFF, MD PA
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 6550 FANNIN ST. SUITE 657
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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Country | US
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Telephone | 713-441-2235
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Fax | 832-218-9148
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Provider Business Mailing Address
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Address Line | 25 1/2 COURTLANDT PLACE
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City | HOUSTON
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State | TX
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Zip | 77006-4013
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Country | US
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Telephone | 713-522-1240
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Fax | 832-218-9148
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | NATHALIE K ROFF
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Credential | MD
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Telephone | 713-522-1240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | J9546
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | J9546
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | J9546
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | J9546
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | J9546
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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