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General NPI Number Information
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NPI Number | 1093119398
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Entity Type | Organization
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Legal Business Name | ROMA HEALTH CARE LLC
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 842 LA COMA
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City | ELSA
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State | TX
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Zip | 78543
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Country | US
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Telephone | 956-376-0450
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1943
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City | ELSA
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State | TX
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Zip | 78543-1943
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Country | US
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Telephone | 956-376-0450
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EZEQUIEL OMAR SALAZAR
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Credential |
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Telephone | 956-376-0450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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