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General NPI Number Information
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NPI Number | 1184779456
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Entity Type | Individual
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Provider Name | PENNYE M ROHDE PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 2620 E CROSSTIMBERS ST STE 100
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City | HOUSTON
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State | TX
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Zip | 77093-8629
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Country | US
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Telephone | 713-486-8550
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Fax | 713-692-2500
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Provider Business Mailing Address
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Address Line | 1086 LAMONTE LN
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City | HOUSTON
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State | TX
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Zip | 77018-4319
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Country | US
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Telephone | 832-483-4158
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Fax | 713-778-0827
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA02313
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License Number State | TX
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