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General NPI Number Information
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NPI Number | 1184375818
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Entity Type | Individual
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Provider Name | ROHNDA ROIG LCMT, LCNA
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Gender | Female
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 90 VANTIS DR UNIT 3049
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City | ALISO VIEJO
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State | CA
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Zip | 92656-2515
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Country | US
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Telephone | 949-386-9011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15841
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City | ANAHEIM
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State | CA
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Zip | 92803-5841
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Country | US
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Telephone | 949-386-9011
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 84648
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 00841620
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License Number State | CA
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